Summit Physician Group Llp | |
1837 Commons North Dr Tuscaloosa AL 35406-3700 | |
(205) 690-1296 | |
(866) 419-0458 |
Full Name | Summit Physician Group Llp |
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Speciality | Family Medicine |
Location | 1837 Commons North Dr, Tuscaloosa, Alabama |
Authorized Official Name and Position | Charles Eugene Abney (OWNER/MANAGING PARTNER) |
Authorized Official Contact | 2056901296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Physician Group Llp 1655 Mcfarland Blvd N Po Box 189 Tuscaloosa AL 35406-2212 Ph: (205) 690-1296 | Summit Physician Group Llp 1837 Commons North Dr Tuscaloosa AL 35406-3700 Ph: (205) 690-1296 |
NPI Number | 1104343581 |
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Provider Enumeration Date | 08/25/2017 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 0042564957 |
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Medicare Enrollment ID | O20181113001062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104343581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Karen S Moore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740384817 PECOS PAC ID: 9133112170 Enrollment ID: I20040406000875 |
Provider Name | Jennifer L Burdette |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669530879 PECOS PAC ID: 7810967874 Enrollment ID: I20040727001623 |
Provider Name | James C Byrd |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134140734 PECOS PAC ID: 8729050752 Enrollment ID: I20040812001270 |
Provider Name | Charles E Abney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689760704 PECOS PAC ID: 7810935574 Enrollment ID: I20050422000094 |
Provider Name | Malcolm R Hendricks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700823697 PECOS PAC ID: 5890797658 Enrollment ID: I20070207000192 |
Provider Name | Keisha G Lowther |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134336886 PECOS PAC ID: 7810064078 Enrollment ID: I20080930000455 |
Provider Name | Haritha V Guttikonda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912162504 PECOS PAC ID: 3678641842 Enrollment ID: I20081001000707 |
Provider Name | Jerry Mcknight |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356311005 PECOS PAC ID: 6901920388 Enrollment ID: I20100908000448 |
Provider Name | Sumathi Puttu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649470717 PECOS PAC ID: 1850589862 Enrollment ID: I20101217000078 |
Provider Name | Justin R Bevel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164669321 PECOS PAC ID: 8921297730 Enrollment ID: I20110110000750 |
Provider Name | Jahana T Hill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811135213 PECOS PAC ID: 9739378092 Enrollment ID: I20110118001074 |
Provider Name | Erica Day |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437488681 PECOS PAC ID: 9931386042 Enrollment ID: I20110526000585 |
Provider Name | Jamie Lowther |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396955381 PECOS PAC ID: 4385821701 Enrollment ID: I20110613000817 |
Provider Name | Amanda M Stevens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821318858 PECOS PAC ID: 4486893039 Enrollment ID: I20130612000216 |
Provider Name | Elizabeth Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20130810000049 |
Provider Name | Whitney A. Cannon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548719420 PECOS PAC ID: 3779862453 Enrollment ID: I20161121001509 |
Provider Name | Natalya Lyubynska |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932410511 PECOS PAC ID: 8325272685 Enrollment ID: I20170707002187 |
Provider Name | Aaron A Jasper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780132290 PECOS PAC ID: 3173880804 Enrollment ID: I20171205000336 |
Provider Name | Amy Lynn Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295224483 PECOS PAC ID: 8325397136 Enrollment ID: I20180827002975 |
Provider Name | Eric Tillotson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316300080 PECOS PAC ID: 6305107772 Enrollment ID: I20201021001397 |
Provider Name | Samantha Yvonne Unz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649922469 PECOS PAC ID: 6800279126 Enrollment ID: I20220819001386 |
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