| Pickens County Primary Care Pc | |
|
99 Commerce Avenue Carrollton AL 35447 | |
| (205) 375-6351 | |
| Not Available |
| Full Name | Pickens County Primary Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 99 Commerce Avenue, Carrollton, Alabama |
| Authorized Official Name and Position | Regina Ann Beams (BILLING) |
| Authorized Official Contact | 2058283140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickens County Primary Care Pc 108 4th Ave Sw Reform AL 35481-8018 Ph: (205) 375-6351 | Pickens County Primary Care Pc 99 Commerce Avenue Carrollton AL 35447 Ph: (205) 375-6351 |
| NPI Number | 1982205753 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 1658597307 |
|---|---|
| Medicare Enrollment ID | O20200509000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982205753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Julia L Boothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397824 PECOS PAC ID: 0941102107 Enrollment ID: I20040127000341 |
| Provider Name | Robert N Honea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083713556 PECOS PAC ID: 0648218008 Enrollment ID: I20050418000815 |
| Provider Name | John Brandon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114992070 PECOS PAC ID: 4486863677 Enrollment ID: I20120117000792 |
| Provider Name | Theresa Darlene Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609114198 PECOS PAC ID: 8325283989 Enrollment ID: I20130402000284 |
| Provider Name | Chelsie N Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346672243 PECOS PAC ID: 3779717806 Enrollment ID: I20131003000395 |
| Provider Name | Cacyce Michelle Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457774200 PECOS PAC ID: 6406087774 Enrollment ID: I20140331000488 |
| Provider Name | Kacie E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838746 PECOS PAC ID: 0345540589 Enrollment ID: I20151119002870 |
| Provider Name | Brandy Kelley Junkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902259443 PECOS PAC ID: 7416241575 Enrollment ID: I20160811002504 |
| Provider Name | Jillian L Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108239 PECOS PAC ID: 8729351895 Enrollment ID: I20170912001846 |
| Provider Name | Marilyn Dyer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992152284 PECOS PAC ID: 0648563908 Enrollment ID: I20190823000756 |
| Provider Name | Marcus Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700425386 PECOS PAC ID: 9830527027 Enrollment ID: I20200323001118 |
| Provider Name | Alicia Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497107023 PECOS PAC ID: 7911281647 Enrollment ID: I20200324003746 |
| Provider Name | Emily R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457870743 PECOS PAC ID: 4981032935 Enrollment ID: I20200325001769 |
| Provider Name | Laci Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093341570 PECOS PAC ID: 2264860451 Enrollment ID: I20200410002245 |
| Provider Name | Erin Simpson Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649957846 PECOS PAC ID: 8527413731 Enrollment ID: I20231009000617 |
Boa Vida Hospital Of Aberdeen, Ms Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 William E Hill Drive Ste C, Carrollton, AL 35447 Phone: 205-367-8197 | |
Carrollton Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 William E Hill Dr Ste C, Carrollton, AL 35447 Phone: 205-367-8197 Fax: 205-367-8198 | |
Whatley Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Robert K Wilson Drive, Carrollton, AL 35447 Phone: 205-367-2455 | |
University Medical Center Carrollton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 Robert K Wilson Dr Suite C, Carrollton, AL 35447 Phone: 205-348-1770 | |
Carrollton Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 William E. Hill Dr, Carrollton, AL 35447 Phone: 205-367-8197 Fax: 205-367-8198 | |
Pickens County Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 William E Hill Dr Ste C, Carrollton, AL 35447 Phone: 205-367-8197 Fax: 205-367-8198 |