| |
429 Buford L Rolin Dr Atmore AL 36502-5186 | |
(251) 368-9136 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 429 Buford L Rolin Dr, Atmore, Alabama |
Authorized Official Name and Position | Teresa Smith (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 2513689136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5811 Jack Springs Rd Atmore AL 36502-5025 Ph: (251) 368-9136 | 429 Buford L Rolin Dr Atmore AL 36502-5186 Ph: (251) 368-9136 |
NPI Number | 1902916489 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 05/23/2017 |
Medicare PECOS PAC ID | 9830188085 |
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Medicare Enrollment ID | O20150203002035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902916489 | NPI | - | NPPES |
630000019 | Medicaid | AL | |
0130574 | Other | NCPDP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Gail E Thomas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1275733016 PECOS PAC ID: 6507948254 Enrollment ID: I20140718000536 |
Provider Name | Carmen Delarosa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942253281 PECOS PAC ID: 1658436407 Enrollment ID: I20150213000327 |
Provider Name | Todd D Luellen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437351905 PECOS PAC ID: 2264582824 Enrollment ID: I20150213000855 |
Provider Name | Julia Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689784084 PECOS PAC ID: 9335213917 Enrollment ID: I20150226001038 |
Provider Name | John M Caroline |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154394625 PECOS PAC ID: 1355235458 Enrollment ID: I20150312000494 |
Provider Name | Brittany A Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295974681 PECOS PAC ID: 9436476025 Enrollment ID: I20150319000097 |
Provider Name | Theodore Woods |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1386875185 PECOS PAC ID: 5991015216 Enrollment ID: I20151117000029 |
Provider Name | Karen A Flanagan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457324600 PECOS PAC ID: 0244256451 Enrollment ID: I20151223000532 |
Provider Name | James E Mckinley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023278116 PECOS PAC ID: 9335329309 Enrollment ID: I20160113002498 |
Provider Name | Stella Von Troil |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225080088 PECOS PAC ID: 4284698812 Enrollment ID: I20170208002207 |
Provider Name | David Formwalt |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164591541 PECOS PAC ID: 9739237272 Enrollment ID: I20170725003183 |
Provider Name | Charles G Mardis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487752911 PECOS PAC ID: 6406749605 Enrollment ID: I20181210000393 |
Provider Name | Amanda Janette Cobb |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750677852 PECOS PAC ID: 6709058571 Enrollment ID: I20190219000632 |
Provider Name | Lucy Littrell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1285163352 PECOS PAC ID: 9830463421 Enrollment ID: I20191213001021 |
Provider Name | Margaret Lamkin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215128376 PECOS PAC ID: 7113212309 Enrollment ID: I20200622001753 |
Provider Name | Tristan T Evans |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942789607 PECOS PAC ID: 8527488816 Enrollment ID: I20201027000955 |
Provider Name | Jonathan Patrick Cobb |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538455985 PECOS PAC ID: 7517124043 Enrollment ID: I20210913002361 |
Provider Name | Lisa M Tucker-williams |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1003478785 PECOS PAC ID: 4587085055 Enrollment ID: I20230209000752 |
Provider Name | Elvin C Irvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902888357 PECOS PAC ID: 2264456003 Enrollment ID: I20230307001126 |
Provider Name | Deno D Rolin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154840676 PECOS PAC ID: 1850651571 Enrollment ID: I20230720000011 |
Provider Name | Terraseeta Craig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366908287 PECOS PAC ID: 9739574021 Enrollment ID: I20240202002510 |
Provider Name | James F. Henderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487075289 PECOS PAC ID: 5395976286 Enrollment ID: I20240205003307 |
Provider Name | Tanya Biggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841979663 PECOS PAC ID: 7214375690 Enrollment ID: I20240404000532 |
Provider Name | Jan Adams |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1265655377 PECOS PAC ID: 3870806334 Enrollment ID: I20240910004564 |
Provider Name | Teresa Smith |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548510712 PECOS PAC ID: 0345781993 Enrollment ID: I20240923001838 |
Provider Name | Lena S Hardy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134475924 PECOS PAC ID: 5395993257 Enrollment ID: I20240925001893 |
Provider Name | Andrea Talley |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1609004746 PECOS PAC ID: 0840557070 Enrollment ID: I20241010003626 |
Provider Name | Brian Talley |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1932123692 PECOS PAC ID: 5597298828 Enrollment ID: I20241025000009 |
Provider Name | David Thrasher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831150259 PECOS PAC ID: 2466590112 Enrollment ID: I20241122001736 |
James R. Dixon, Ii D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2346 Fax: 251-368-3557 | |
Sheldon Harigel Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-7974 Fax: 251-368-5973 | |
Agape Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 E Laurel St, Atmore, AL 36502 Phone: 251-368-5117 Fax: 251-368-4191 | |
H. David Brannon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-6283 |