Samc-enterprise Medical Clinic - Medicare Primary Care in Enterprise, AL

Samc-enterprise Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Enterprise, Alabama. The current practice location for Samc-enterprise Medical Clinic is 101 Professional Ln, Enterprise, Alabama. For appointments, you can reach them via phone at (334) 347-3404. The mailing address for Samc-enterprise Medical Clinic is 101 Professional Ln, Enterprise, Alabama and phone number is (334) 347-3404.

Samc-enterprise Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619026606. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 347-3404.

Contact Information

Samc-enterprise Medical Clinic
101 Professional Ln
Enterprise
AL 36330-2085
(334) 347-3404
(334) 393-0613

Map and Direction


Primary Care Clinic Profile

Full NameSamc-enterprise Medical Clinic
SpecialityInternal Medicine
Location101 Professional Ln, Enterprise, Alabama
Authorized Official Name and PositionCrystal S Foster (CONTRACT MANAGER)
Authorized Official Contact3347938087
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samc-enterprise Medical Clinic
101 Professional Ln
Enterprise
AL 36330-2085

Ph: (334) 347-3404
Samc-enterprise Medical Clinic
101 Professional Ln
Enterprise
AL 36330-2085

Ph: (334) 347-3404

NPI Details:

NPI Number1619026606
Provider Enumeration Date01/09/2007
Last Update Date11/01/2007

Medicare PECOS Information:

Medicare PECOS PAC ID9436062296
Medicare Enrollment IDO20040219000209

Medical Identifiers

Medical identifiers for Samc-enterprise Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619026606NPI-NPPES
F945OtherALBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Samc-enterprise Medical Clinic acts as a billing entity for following providers:
Provider NameMarvin W Sexton
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1659365138
PECOS PAC ID: 6406760610
Enrollment ID: I20031112000796
Provider NameNicholas F Voss
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1497750012
PECOS PAC ID: 0941109011
Enrollment ID: I20040107000889
Provider NameCassie Williams Luke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982622577
PECOS PAC ID: 3577459304
Enrollment ID: I20040226001060
Provider NameThomas L Arnold
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710914841
PECOS PAC ID: 1052201886
Enrollment ID: I20040317000098
Provider NameJean A Robbins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063455491
PECOS PAC ID: 4385535327
Enrollment ID: I20040322000292
Provider NameSher M Ghori
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1043262736
PECOS PAC ID: 9739171661
Enrollment ID: I20040331001624
Provider NameRobert Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992766703
PECOS PAC ID: 4789678095
Enrollment ID: I20040412000033
Provider NameOlusina M Akinduro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760451959
PECOS PAC ID: 8921096686
Enrollment ID: I20040503001278
Provider NameStephen Ezzell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164474623
PECOS PAC ID: 1456341809
Enrollment ID: I20040517000793
Provider NameEric S Cunningham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033209473
PECOS PAC ID: 4981686268
Enrollment ID: I20040601001447
Provider NameMark L Willis
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1740269612
PECOS PAC ID: 5092797258
Enrollment ID: I20040602001251
Provider NameAlan D Prince
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376593681
PECOS PAC ID: 0446237325
Enrollment ID: I20040630000274
Provider NameRobert W Schuyler
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1982601902
PECOS PAC ID: 7315924396
Enrollment ID: I20040707000991
Provider NameJeffrey M Elliott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639138795
PECOS PAC ID: 0840278776
Enrollment ID: I20040708000710
Provider NameRobert B Peterman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457536302
PECOS PAC ID: 2466425392
Enrollment ID: I20040818000334
Provider NameJohn M Mcdonald
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558301481
PECOS PAC ID: 2062409063
Enrollment ID: I20040907001312
Provider NameKaycia Vansickle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1780796755
PECOS PAC ID: 0941279079
Enrollment ID: I20040927000461
Provider NameJames C Jones
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225094899
PECOS PAC ID: 7810966769
Enrollment ID: I20040928001010
Provider NameSamuel J Harden
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1316022148
PECOS PAC ID: 8123087012
Enrollment ID: I20041006001087
Provider NameGregory W Shields
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699733683
PECOS PAC ID: 7517929870
Enrollment ID: I20041028001025
Provider NameJames O Hill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356311666
PECOS PAC ID: 8325004039
Enrollment ID: I20041204000180
Provider NameEyob H Tessema
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639195076
PECOS PAC ID: 1759330699
Enrollment ID: I20050118000456
Provider NameJeffrey T Kirkland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326005323
PECOS PAC ID: 6901858034
Enrollment ID: I20050216000676
Provider NameJon A Dix
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992760383
PECOS PAC ID: 4183676232
Enrollment ID: I20050216000770
Provider NameChad M Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467417162
PECOS PAC ID: 1850343930
Enrollment ID: I20050216000973
Provider NameAndreas Muench
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1326027491
PECOS PAC ID: 2466497078
Enrollment ID: I20050623000998
Provider NameAlan W Purvis
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1932193414
PECOS PAC ID: 0840236816
Enrollment ID: I20050629000958
Provider NamePaul H Chan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154326783
PECOS PAC ID: 4587686449
Enrollment ID: I20051220000945
Provider NameThomas J Barkley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811938368
PECOS PAC ID: 7719993757
Enrollment ID: I20060228000282
Provider NameEdward T Robson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528014628
PECOS PAC ID: 6002864923
Enrollment ID: I20060321000781
Provider NameCheryl A Holland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447208053
PECOS PAC ID: 4486662673
Enrollment ID: I20060329000736
Provider NameKenneth W Bennett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942254263
PECOS PAC ID: 5799794590
Enrollment ID: I20060405000669
Provider NameBrenda A Jacobsen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740372960
PECOS PAC ID: 2961305842
Enrollment ID: I20060505000383
Provider NameElizabeth A Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609824531
PECOS PAC ID: 0840201281
Enrollment ID: I20060522000017
Provider NameDavid B Woodham
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1346245966
PECOS PAC ID: 0941109003
Enrollment ID: I20060720000188
Provider NameJennifer M Parrish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356395297
PECOS PAC ID: 0749284701
Enrollment ID: I20060905000448
Provider NameHomer L Lassiter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508893116
PECOS PAC ID: 5496754863
Enrollment ID: I20061212000579
Provider NameMathew G Krista
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093779738
PECOS PAC ID: 2961403001
Enrollment ID: I20070116000565
Provider NameCandace N Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407919822
PECOS PAC ID: 2769588789
Enrollment ID: I20070507000691
Provider NameCornelia Glenn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366586604
PECOS PAC ID: 0648377325
Enrollment ID: I20070514000467
Provider NameRomualdo B Requijo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225173966
PECOS PAC ID: 8820195522
Enrollment ID: I20070514000570
Provider NameLaura Crna Smoak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902931736
PECOS PAC ID: 2365549060
Enrollment ID: I20070514000578
Provider NameGabruce A Young
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184647992
PECOS PAC ID: 1658260393
Enrollment ID: I20070618000375
Provider NameEdward F Crockett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730104951
PECOS PAC ID: 6103925979
Enrollment ID: I20070619000521
Provider NameWilliam E Mcrae
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1851421051
PECOS PAC ID: 3779682257
Enrollment ID: I20070625000281
Provider NameRusheng Zhang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750408266
PECOS PAC ID: 4284735606
Enrollment ID: I20070728000181
Provider NameMhd A Alkhatib
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528115326
PECOS PAC ID: 6204927957
Enrollment ID: I20070809000306
Provider NameDavid D Gayle
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1336133131
PECOS PAC ID: 6204876378
Enrollment ID: I20070823000456
Provider NameJoseph J Phillips
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1013130186
PECOS PAC ID: 9739271511
Enrollment ID: I20070824000184
Provider NameSam C West
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366403255
PECOS PAC ID: 7315909314
Enrollment ID: I20070911000219
Provider NamePaula S Wadbrook
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124079157
PECOS PAC ID: 9335127174
Enrollment ID: I20080109000490
Provider NameCesar E Munoz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255432027
PECOS PAC ID: 7719067271
Enrollment ID: I20080109000592
Provider NameWyndi M Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396926515
PECOS PAC ID: 9436232725
Enrollment ID: I20080211000024
Provider NameJeffrey B Whitehurst
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1154316586
PECOS PAC ID: 6002999208
Enrollment ID: I20080212000037
Provider NameJames B Craven
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1659365104
PECOS PAC ID: 4486694569
Enrollment ID: I20080306000579
Provider NameChristian F Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508839440
PECOS PAC ID: 7618951088
Enrollment ID: I20080312000664
Provider NameRonald W Holland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275701658
PECOS PAC ID: 8224115811
Enrollment ID: I20080407000533
Provider NameCarlton M Baldwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487850103
PECOS PAC ID: 9537246913
Enrollment ID: I20080409000533
Provider NameLauren P Reece
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861660656
PECOS PAC ID: 6305924382
Enrollment ID: I20080416000083
Provider NameNatalie E Wozniak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528244522
PECOS PAC ID: 6305924671
Enrollment ID: I20080428000245
Provider NameJustin Hovey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801970116
PECOS PAC ID: 8022187780
Enrollment ID: I20080521000133
Provider NameGaynel B Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033163183
PECOS PAC ID: 5991877540
Enrollment ID: I20080626000563
Provider NameSai K Avula
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467441741
PECOS PAC ID: 9739166851
Enrollment ID: I20080628000100
Provider NameJohn L Meade
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659435345
PECOS PAC ID: 4880766161
Enrollment ID: I20080701000472
Provider NameStarla S Shoupe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083890073
PECOS PAC ID: 0547332207
Enrollment ID: I20080712000069
Provider NameThomas Lewis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578776209
PECOS PAC ID: 8527133925
Enrollment ID: I20080820000136
Provider NameJonathan G Vukovich
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1528065539
PECOS PAC ID: 6204902687
Enrollment ID: I20080909000304
Provider NameWilliam C Freeman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164462826
PECOS PAC ID: 3678587052
Enrollment ID: I20080910000358
Provider NameJohn Peacock
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1700883725
PECOS PAC ID: 5991872046
Enrollment ID: I20080916000315
Provider NameJoseph C Clements
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1295732204
PECOS PAC ID: 5395812317
Enrollment ID: I20080917000286
Provider NameLisa M Wallace
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548439375
PECOS PAC ID: 0749366276
Enrollment ID: I20080918000069
Provider NameYimei M Qian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487801163
PECOS PAC ID: 3173690625
Enrollment ID: I20080924000640
Provider NameMichael E. Pinson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760476212
PECOS PAC ID: 0941240014
Enrollment ID: I20080929000396
Provider NameJames S Burrow
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437363199
PECOS PAC ID: 8527169069
Enrollment ID: I20081001000503
Provider NameSaeeda K Malik
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1023128212
PECOS PAC ID: 4880680248
Enrollment ID: I20081021000227
Provider NameKatherine Makaita Takundwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225224025
PECOS PAC ID: 9830257310
Enrollment ID: I20081028000410
Provider NameJohn J Marsella
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1326027236
PECOS PAC ID: 1658433370
Enrollment ID: I20081215000203
Provider NameDavid H Evans
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1871572750
PECOS PAC ID: 1557423274
Enrollment ID: I20081215000214
Provider NameRhonda Mcfarland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821055807
PECOS PAC ID: 8527121342
Enrollment ID: I20090106000062
Provider NameMichael T Flanagan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265411136
PECOS PAC ID: 4789748385
Enrollment ID: I20090127000168
Provider NameValerie W Cobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720232333
PECOS PAC ID: 1557427556
Enrollment ID: I20090226000449
Provider NameBradley J Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730326372
PECOS PAC ID: 9739246604
Enrollment ID: I20090319000519
Provider NameDavid F Eldridge
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083852883
PECOS PAC ID: 9739237264
Enrollment ID: I20090511000244
Provider NameLeonardo S Nasca
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528039617
PECOS PAC ID: 5991731267
Enrollment ID: I20090615000399
Provider NameFaye E Rao
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1508883133
PECOS PAC ID: 7618909755
Enrollment ID: I20090630000132
Provider NamePeter M Rao
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1932250339
PECOS PAC ID: 7810048667
Enrollment ID: I20090708000053
Provider NameSrinivasa R Chennareddy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245367721
PECOS PAC ID: 1052411972
Enrollment ID: I20090817000110
Provider NameJeffrey H Fadil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467529495
PECOS PAC ID: 1759437510
Enrollment ID: I20090918000481
Provider NameBryant F Williams
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1053396606
PECOS PAC ID: 4385783117
Enrollment ID: I20091208000123
Provider NameWilliam E Reynolds
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134178668
PECOS PAC ID: 2365582210
Enrollment ID: I20091228000272
Provider NameBruce R Williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417907791
PECOS PAC ID: 8224171103
Enrollment ID: I20100201000106
Provider NameMontgomery C Peden
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851349179
PECOS PAC ID: 2769525641
Enrollment ID: I20100201000119
Provider NameKathlyn Diefenderfer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780606426
PECOS PAC ID: 1850442575
Enrollment ID: I20100201000145
Provider NameJames R Conner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386619807
PECOS PAC ID: 2769525310
Enrollment ID: I20100204000064
Provider NameRoohi F Faiyaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609012111
PECOS PAC ID: 8921141409
Enrollment ID: I20100205000285
Provider NameJohn H Burgess
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275502486
PECOS PAC ID: 2668450586
Enrollment ID: I20100210000006
Provider NameChristopher L Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477528990
PECOS PAC ID: 3678618238
Enrollment ID: I20100308000019
Provider NameLucas A Trotter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710217989
PECOS PAC ID: 8729113535
Enrollment ID: I20100318000686
Provider NameJonas R Salna
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922065762
PECOS PAC ID: 4587790753
Enrollment ID: I20100326000340
Provider NameJames Hart
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871783522
PECOS PAC ID: 6103952619
Enrollment ID: I20100408000498
Provider NameDonavon L Wewers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972558773
PECOS PAC ID: 0840379939
Enrollment ID: I20100520000049
Provider NameWalter J Doty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932151719
PECOS PAC ID: 6507995149
Enrollment ID: I20100520000371
Provider NameCandace R Grantham
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366774895
PECOS PAC ID: 7012046832
Enrollment ID: I20100603000389
Provider NameRichard E May
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427168269
PECOS PAC ID: 7810924735
Enrollment ID: I20100610000534
Provider NameRobert A Latimer
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1558356881
PECOS PAC ID: 5092816660
Enrollment ID: I20100611000546
Provider NameEmmalyn A Bady-mcdowell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336134584
PECOS PAC ID: 7618039942
Enrollment ID: I20100611000562
Provider NameKenneth Tucker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346294204
PECOS PAC ID: 6608907191
Enrollment ID: I20100628000355
Provider NameJames A Robeson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801861059
PECOS PAC ID: 4284710534
Enrollment ID: I20100707000057
Provider NameJoseph J Kaplan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912947904
PECOS PAC ID: 8729065925
Enrollment ID: I20100709000623
Provider NameRobert Michael Obrien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962489252
PECOS PAC ID: 0840322764
Enrollment ID: I20100713000076
Provider NameCharles Ted Paulk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366429649
PECOS PAC ID: 0648302562
Enrollment ID: I20100713000098
Provider NameFrederick A Pich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962608455
PECOS PAC ID: 1658404108
Enrollment ID: I20100804000325
Provider NameFrank Crockett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942277215
PECOS PAC ID: 8224161625
Enrollment ID: I20100805000759
Provider NameRita Margaret M Gillespie
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467664870
PECOS PAC ID: 9032301460
Enrollment ID: I20101004001259
Provider NameJason Deleon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427121029
PECOS PAC ID: 3476745647
Enrollment ID: I20101006000385
Provider NameRoss Parker Davis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1235312679
PECOS PAC ID: 6901968890
Enrollment ID: I20101007001401
Provider NameSteven F Johnson
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1255321279
PECOS PAC ID: 2961466214
Enrollment ID: I20101014000086
Provider NameKristy D Johnson-pich
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1720285182
PECOS PAC ID: 1456544022
Enrollment ID: I20101015000583
Provider NameWalter J Doty
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1518160605
PECOS PAC ID: 1355534330
Enrollment ID: I20101022000359
Provider NameJohn E Streitman
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1528083888
PECOS PAC ID: 4587669411
Enrollment ID: I20101025001033
Provider NameLucianne H Wiggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871893883
PECOS PAC ID: 6901094515
Enrollment ID: I20101227000381
Provider NameJenna C Parden
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205131497
PECOS PAC ID: 2365622107
Enrollment ID: I20110210000542
Provider NameJoseph D Parden
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285939470
PECOS PAC ID: 0244410090
Enrollment ID: I20110210000708
Provider NameGeorge Nwadiaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063678878
PECOS PAC ID: 3274600788
Enrollment ID: I20110215000230
Provider NameNelson Smith Gwinn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922087071
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Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285298927
PECOS PAC ID: 9739557471
Enrollment ID: I20221130000900
Provider NameKatie G Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861653768
PECOS PAC ID: 3779754346
Enrollment ID: I20221207000834
Provider NameJames E Stone
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1992728927
PECOS PAC ID: 9638140973
Enrollment ID: I20221216000850
Provider NameClayton Aaron Charles
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1083974679
PECOS PAC ID: 6204145246
Enrollment ID: I20221220001218
Provider NameSamuel D Critides
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1902856503
PECOS PAC ID: 9537172622
Enrollment ID: I20230119000507
Provider NameMitzi Amelon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831140409
PECOS PAC ID: 8325029663
Enrollment ID: I20230124000377
Provider NameDavid Matthew Beaman Smith
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710948799
PECOS PAC ID: 8921076340
Enrollment ID: I20230131001770
Provider NameSyed Fatmi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154985893
PECOS PAC ID: 7810365913
Enrollment ID: I20230131002651
Provider NameJoseph Bardinelli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174978373
PECOS PAC ID: 9335433895
Enrollment ID: I20230215001847
Provider NameFnu Anshul
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1093168593
PECOS PAC ID: 7517330509
Enrollment ID: I20230221003397
Provider NameCody Mcintyre
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104539253
PECOS PAC ID: 2567836331
Enrollment ID: I20230317000237
Provider NameChad Brady
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831519982
PECOS PAC ID: 0840596995
Enrollment ID: I20230323000654
Provider NameJames Tackett
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1699787804
PECOS PAC ID: 8224934989
Enrollment ID: I20230324000645
Provider NameAubrey Scott
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790775807
PECOS PAC ID: 4981669579
Enrollment ID: I20230327000944
Provider NameTehmin Zafar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1548824303
PECOS PAC ID: 0840664165
Enrollment ID: I20230328000304
Provider NameAllison Harriott
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1023247871
PECOS PAC ID: 6709028616
Enrollment ID: I20230403001330
Provider NameDavid Chandran
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992775357
PECOS PAC ID: 0547397036
Enrollment ID: I20230413002442
Provider NameMallory Lowry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598471534
PECOS PAC ID: 4183089519
Enrollment ID: I20230508001338
Provider NameMichael Michel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710113634
PECOS PAC ID: 7517104615
Enrollment ID: I20230530002102
Provider NameBreanna Slaughter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790358877
PECOS PAC ID: 9133527419
Enrollment ID: I20230531000893
Provider NameJames M Shockley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043673833
PECOS PAC ID: 2668766627
Enrollment ID: I20230609001083
Provider NameTyler Edward Pierson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508436007
PECOS PAC ID: 9638538168
Enrollment ID: I20230630002664
Provider NameJacob Metcalf
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932779519
PECOS PAC ID: 7618336975
Enrollment ID: I20230705000394
Provider NameLacey Gober
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063091346
PECOS PAC ID: 5092175430
Enrollment ID: I20230718001094
Provider NameJamie Leigh Kilpatrick Morrow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235767096
PECOS PAC ID: 5991165920
Enrollment ID: I20230721001150
Provider NameChandra Kumar Mallic Kodavanti
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1093236580
PECOS PAC ID: 7214209808
Enrollment ID: I20230816001998
Provider NameConnor Weir
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366937823
PECOS PAC ID: 5496003634
Enrollment ID: I20230817000822
Provider NameBeulah Jyothy Koduru
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780037507
PECOS PAC ID: 5799011656
Enrollment ID: I20230818000802
Provider NameSara-bethany Weir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548755051
PECOS PAC ID: 7416204060
Enrollment ID: I20230818002818
Provider NameWillie Charles Cawthon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801586052
PECOS PAC ID: 1557724929
Enrollment ID: I20230831004827
Provider NameAndrew Rathnasamy Xavier
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124097225
PECOS PAC ID: 5597793695
Enrollment ID: I20231010002574
Provider NameLila E Sheikhi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457790032
PECOS PAC ID: 8527484278
Enrollment ID: I20231010002685
Provider NameOmar Alkhatib
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992325773
PECOS PAC ID: 4789005240
Enrollment ID: I20231012001826
Provider NameAhmed Bassam Salem
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497384176
PECOS PAC ID: 0446675284
Enrollment ID: I20231017003551
Provider NamePeter De Mola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700402807
PECOS PAC ID: 4688099278
Enrollment ID: I20231019003263
Provider NameNurbanu Selvi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295364834
PECOS PAC ID: 6901252170
Enrollment ID: I20231024001994
Provider NameFateeha Tariq
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801425954
PECOS PAC ID: 5193171130
Enrollment ID: I20231026002338
Provider NameSahar Baloch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508494014
PECOS PAC ID: 6800242850
Enrollment ID: I20231026002474
Provider NameVictor Ye
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336608371
PECOS PAC ID: 7719333574
Enrollment ID: I20231031000279
Provider NameSusan Michelle Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073393690
PECOS PAC ID: 4789030487
Enrollment ID: I20231101002529
Provider NameMorgan D Barton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699364141
PECOS PAC ID: 4082060629
Enrollment ID: I20231102000632
Provider NamePaul E Butts
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770711566
PECOS PAC ID: 2466764238
Enrollment ID: I20231115000116
Provider NameBassam Zahid
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295232361
PECOS PAC ID: 9537554613
Enrollment ID: I20231121001327
Provider NameChristopher D Nance
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194381780
PECOS PAC ID: 1052769460
Enrollment ID: I20231127000204
Provider NameSherry Michelle Albertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679252753
PECOS PAC ID: 1355799784
Enrollment ID: I20231127000763
Provider NameFadi E Bader
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326677105
PECOS PAC ID: 5991153157
Enrollment ID: I20231128002945
Provider NameGabrielle Nicole Snellgrove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831856780
PECOS PAC ID: 0749639599
Enrollment ID: I20231206000395
Provider NameChelsea Brook Brincks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235903170
PECOS PAC ID: 9931542081
Enrollment ID: I20240206003129
Provider NameColm J. Acuff
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487605671
PECOS PAC ID: 4587558952
Enrollment ID: I20240215002916
Provider NameEmily Anne Grimm
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1144242413
PECOS PAC ID: 3577554989
Enrollment ID: I20240307002507
Provider NameEmun Abdu
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1811199912
PECOS PAC ID: 4385815166
Enrollment ID: I20240419002809
Provider NameAteeq Haseeb
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194923060
PECOS PAC ID: 7012001308
Enrollment ID: I20240424003149
Provider NameMoji D Ariyo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124174776
PECOS PAC ID: 2365540986
Enrollment ID: I20240513002779

Reviews and Comments


Internal Medicine in Enterprise, AL

Professional Medical Associates Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330
Phone: 334-393-3686    Fax: 334-347-4906
By His Grace Primary Care, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330
Phone: 334-475-2680    Fax: 334-475-2681
David H. Hayes, M.d., L.l.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 806 Glover Ave, Suite B, Enterprise, AL 36330
Phone: 334-347-0991    Fax: 334-347-1805
New Horizons Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1018 Rucker Blvd Ste A, Enterprise, AL 36330
Phone: 334-347-4343    Fax: 334-393-9611
Hillside Family Practice Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330
Phone: 334-475-2067    
Fast Pace Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1026 Boll Weevil Circle, Enterprise, AL 36330
Phone: 931-253-1110    
Stephen R Brandt Md Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 105 E Watts St, Enterprise, AL 36330
Phone: 334-393-5437    Fax: 334-393-4185

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.