| Pell City Internal And Family Medicine | |
|
41 Eminence Way Ste A Pell City AL 35128-2338 | |
| (205) 884-9000 | |
| (205) 884-8111 |
| Full Name | Pell City Internal And Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 41 Eminence Way Ste A, Pell City, Alabama |
| Authorized Official Name and Position | Terri Woods (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2058849000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pell City Internal And Family Medicine 41 Eminence Way Ste A Pell City AL 35128-2338 Ph: (205) 884-9000 | Pell City Internal And Family Medicine 41 Eminence Way Ste A Pell City AL 35128-2338 Ph: (205) 884-9000 |
| NPI Number | 1649539610 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 0648426825 |
|---|---|
| Medicare Enrollment ID | O20120802000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649539610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27238 (Alabama) | Primary |
| 207R00000X | Internal Medicine | 22922 (Alabama) | Secondary |
| Provider Name | Rutwij Jotani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356303143 PECOS PAC ID: 2769416171 Enrollment ID: I20060831000174 |
| Provider Name | Barry G Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851376610 PECOS PAC ID: 7113114489 Enrollment ID: I20120803000284 |
| Provider Name | Ilinca Cristina Prisacaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831458892 PECOS PAC ID: 2365756251 Enrollment ID: I20150805009593 |
| Provider Name | Adrienne N Shambray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043740020 PECOS PAC ID: 3476826314 Enrollment ID: I20170829001324 |
| Provider Name | Jessica Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699243220 PECOS PAC ID: 7315282209 Enrollment ID: I20181220003379 |
| Provider Name | Christy J Hill-fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346801883 PECOS PAC ID: 7214265172 Enrollment ID: I20190829004427 |
| Provider Name | Emily Depew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982242707 PECOS PAC ID: 7113353517 Enrollment ID: I20200203002069 |
| Provider Name | Jeffrey Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285287714 PECOS PAC ID: 1355727884 Enrollment ID: I20221006000102 |
| Provider Name | Ann Ellard Turner Zicarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033748926 PECOS PAC ID: 5496122723 Enrollment ID: I20221031000150 |
| Provider Name | Matthew Tyler Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790463826 PECOS PAC ID: 9436510609 Enrollment ID: I20230803003416 |
| Provider Name | Wendy O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013646116 PECOS PAC ID: 6800259227 Enrollment ID: I20230831002570 |
| Provider Name | Jeremy Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699458935 PECOS PAC ID: 9830544147 Enrollment ID: I20231005003420 |
| Provider Name | Shanteia Janee Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326791336 PECOS PAC ID: 4789025867 Enrollment ID: I20240508000380 |
Medical Center Pell City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 Dr John Haynes Dr, Suite 201, Pell City, AL 35125 Phone: 205-814-2104 | |
Ricky Tubbs, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Martin St N, Suite 300, Pell City, AL 35125 Phone: 256-368-1509 | |
American Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Hazelwood Dr, Pell City, AL 35215 Phone: 205-338-8008 Fax: 205-338-8009 | |
Main Street Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Med Md Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Cropwell Dr, Pell City, AL 35128 Phone: 205-814-0404 Fax: 205-814-0407 | |
Main Street Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Southside Medical Service Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Wolf Creek Rd N, Pell City, AL 35125 Phone: 205-753-3462 |