| Tallassee Internal Medicine | |
|
80 Herren Hill Rd Ste A Tallassee AL 36078-1264 | |
| (334) 283-3844 | |
| (334) 283-3735 |
| Full Name | Tallassee Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Herren Hill Rd Ste A, Tallassee, Alabama |
| Authorized Official Name and Position | Lee S Greer (CFO) |
| Authorized Official Contact | 3342833754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallassee Internal Medicine 805 Friendship Rd Tallassee AL 36078-1234 Ph: (334) 283-3844 | Tallassee Internal Medicine 80 Herren Hill Rd Ste A Tallassee AL 36078-1264 Ph: (334) 283-3844 |
| NPI Number | 1295040376 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 01/11/2012 |
| Medicare PECOS PAC ID | 2062408487 |
|---|---|
| Medicare Enrollment ID | O20040421001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295040376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Alabama) | Primary |
| Provider Name | Abayomi G Oshinowo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417956467 PECOS PAC ID: 4789589300 Enrollment ID: I20031205000203 |
| Provider Name | Milton E Pointer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962466839 PECOS PAC ID: 9436051224 Enrollment ID: I20040122000759 |
| Provider Name | David T Sleeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275694374 PECOS PAC ID: 5294637799 Enrollment ID: I20040124000090 |
| Provider Name | Steven D Avezzano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730123217 PECOS PAC ID: 7618870379 Enrollment ID: I20040129000890 |
| Provider Name | Ewane Ngone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554446 PECOS PAC ID: 9830094853 Enrollment ID: I20040406000296 |
| Provider Name | James V Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114975125 PECOS PAC ID: 3476540063 Enrollment ID: I20040427000451 |
| Provider Name | Eric S Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033209473 PECOS PAC ID: 4981686268 Enrollment ID: I20040601001447 |
| Provider Name | James D Crosby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649236720 PECOS PAC ID: 0345225579 Enrollment ID: I20040622000953 |
| Provider Name | Shelly R Weisenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063444644 PECOS PAC ID: 5294705489 Enrollment ID: I20040727000374 |
| Provider Name | Thomas D Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306848494 PECOS PAC ID: 8325010309 Enrollment ID: I20040810001005 |
| Provider Name | Edward W Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114925815 PECOS PAC ID: 3173586245 Enrollment ID: I20041111000436 |
| Provider Name | Swaroop Mitta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356432264 PECOS PAC ID: 1355392317 Enrollment ID: I20050207000859 |
| Provider Name | Shaikh Wahiduzzaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119163 PECOS PAC ID: 9739134503 Enrollment ID: I20050315000110 |
| Provider Name | Jose A Lopez Lago |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861440950 PECOS PAC ID: 1759339708 Enrollment ID: I20050407000613 |
| Provider Name | Gary L Rhame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903535 PECOS PAC ID: 0840256327 Enrollment ID: I20060424000397 |
| Provider Name | Steven M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588617666 PECOS PAC ID: 3971514787 Enrollment ID: I20060508000966 |
| Provider Name | Chanda L Houts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841219078 PECOS PAC ID: 8729087341 Enrollment ID: I20061208000475 |
| Provider Name | Candace R Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407924384 PECOS PAC ID: 7618070855 Enrollment ID: I20070308000642 |
| Provider Name | Krishnaveni Manku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497854293 PECOS PAC ID: 6800994104 Enrollment ID: I20070611000433 |
| Provider Name | Warren G Tyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114010121 PECOS PAC ID: 7416048806 Enrollment ID: I20070814000877 |
| Provider Name | Leena Bhasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578770152 PECOS PAC ID: 2163504259 Enrollment ID: I20080129000121 |
| Provider Name | Scott A Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770675704 PECOS PAC ID: 3870677685 Enrollment ID: I20080303000402 |
| Provider Name | Kenneth Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659409365 PECOS PAC ID: 8224129903 Enrollment ID: I20080310000045 |
| Provider Name | Michael W Peaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437122884 PECOS PAC ID: 9032288212 Enrollment ID: I20080514000037 |
| Provider Name | William C Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164462826 PECOS PAC ID: 3678587052 Enrollment ID: I20080910000358 |
| Provider Name | Audrey Hodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437324613 PECOS PAC ID: 4587730684 Enrollment ID: I20080912000424 |
| Provider Name | Barbara J Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659534436 PECOS PAC ID: 2365510625 Enrollment ID: I20081014000422 |
| Provider Name | Gary Harrelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831169994 PECOS PAC ID: 4880751726 Enrollment ID: I20090320000435 |
| Provider Name | Irene A Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023116894 PECOS PAC ID: 2567508070 Enrollment ID: I20091013000685 |
| Provider Name | Maher Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558442194 PECOS PAC ID: 3072658863 Enrollment ID: I20100304000384 |
| Provider Name | Marcial J Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407870504 PECOS PAC ID: 0547245573 Enrollment ID: I20100505000014 |
| Provider Name | Philemon Theologos Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437348950 PECOS PAC ID: 1052443694 Enrollment ID: I20100719000184 |
| Provider Name | Marvin Skinner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710941687 PECOS PAC ID: 2668480419 Enrollment ID: I20100812000033 |
| Provider Name | Janice M Stewarts-hooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770631244 PECOS PAC ID: 0446376784 Enrollment ID: I20100924000056 |
| Provider Name | Melissa D Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548238272 PECOS PAC ID: 3476679515 Enrollment ID: I20100927001048 |
| Provider Name | Melvin Douglas Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760452999 PECOS PAC ID: 7315933744 Enrollment ID: I20101118000822 |
| Provider Name | Deanah D Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124214770 PECOS PAC ID: 4082800644 Enrollment ID: I20101122000293 |
| Provider Name | Dale E Trammell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871596205 PECOS PAC ID: 3577745298 Enrollment ID: I20110316000618 |
| Provider Name | Thomas Deverell Bianchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306818232 PECOS PAC ID: 8224216635 Enrollment ID: I20110706000318 |
| Provider Name | Ginger W Mcdougal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699077834 PECOS PAC ID: 4082882543 Enrollment ID: I20110727000748 |
| Provider Name | Xinyu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613729 PECOS PAC ID: 5799955472 Enrollment ID: I20110907001488 |
| Provider Name | Charles B Brentnall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497751036 PECOS PAC ID: 6800975814 Enrollment ID: I20111018000422 |
| Provider Name | Michael A Courtney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487702072 PECOS PAC ID: 0749449494 Enrollment ID: I20120315000473 |
| Provider Name | Kramer O Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053516864 PECOS PAC ID: 5294981890 Enrollment ID: I20120815000186 |
| Provider Name | Bethany J Meredith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528344025 PECOS PAC ID: 0446407787 Enrollment ID: I20120822000079 |
| Provider Name | John Ryan Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902150089 PECOS PAC ID: 7315198199 Enrollment ID: I20121105000452 |
| Provider Name | Brandie Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396170361 PECOS PAC ID: 6608002514 Enrollment ID: I20131125001169 |
| Provider Name | Afu Mohammad Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285834838 PECOS PAC ID: 8123267812 Enrollment ID: I20140207001271 |
| Provider Name | Lester Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689976870 PECOS PAC ID: 5092945824 Enrollment ID: I20140224000380 |
| Provider Name | Diana L Kenyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952799371 PECOS PAC ID: 8628395704 Enrollment ID: I20150330001719 |
| Provider Name | Sally W Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477690386 PECOS PAC ID: 3274436696 Enrollment ID: I20150723009496 |
| Provider Name | John Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205182508 PECOS PAC ID: 0648404129 Enrollment ID: I20150826000598 |
| Provider Name | Raul A Pinon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447271481 PECOS PAC ID: 8123097235 Enrollment ID: I20151123002279 |
| Provider Name | Jaisingh Rajput |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770987943 PECOS PAC ID: 4880999796 Enrollment ID: I20160301001285 |
| Provider Name | Pinkie Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256217 PECOS PAC ID: 1456641273 Enrollment ID: I20160608000201 |
| Provider Name | Hunter M Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114380870 PECOS PAC ID: 3274824487 Enrollment ID: I20160620000298 |
| Provider Name | Irfan Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346601739 PECOS PAC ID: 1951697226 Enrollment ID: I20160913001319 |
| Provider Name | Deray Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073067856 PECOS PAC ID: 7416235544 Enrollment ID: I20161025001455 |
| Provider Name | Benton M Cason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871912139 PECOS PAC ID: 8325367204 Enrollment ID: I20170823001582 |
| Provider Name | Brandi I Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758756 PECOS PAC ID: 0840563987 Enrollment ID: I20170912000797 |
| Provider Name | Krishna Vardhan Reddy Venkata Dasari Lakshmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043629157 PECOS PAC ID: 1557636396 Enrollment ID: I20171004003447 |
| Provider Name | Kelly Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437671823 PECOS PAC ID: 8921366121 Enrollment ID: I20171215002591 |
| Provider Name | Lori M Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072757 PECOS PAC ID: 8123387016 Enrollment ID: I20180123001061 |
| Provider Name | Rebecca Lee Buckalew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649635079 PECOS PAC ID: 0446507800 Enrollment ID: I20180717003254 |
| Provider Name | Christopher Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871976134 PECOS PAC ID: 4385959337 Enrollment ID: I20180828000242 |
| Provider Name | Zane Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043787526 PECOS PAC ID: 5395089064 Enrollment ID: I20181206001525 |
| Provider Name | Gretchen Renae Winter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235498049 PECOS PAC ID: 2769622844 Enrollment ID: I20190723001907 |
| Provider Name | Qasim Stanazai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275949562 PECOS PAC ID: 5496086407 Enrollment ID: I20200506002893 |
| Provider Name | Vasant T Temull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295256618 PECOS PAC ID: 2769800242 Enrollment ID: I20200915002845 |
| Provider Name | Kalvin Nathaniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740570183 PECOS PAC ID: 5193957694 Enrollment ID: I20200922001681 |
| Provider Name | Adrienne Kathryn Bolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316554181 PECOS PAC ID: 0749694230 Enrollment ID: I20210125000793 |
| Provider Name | Robert Do Quarcoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831402502 PECOS PAC ID: 5698901015 Enrollment ID: I20210209002220 |
| Provider Name | Andrew Wilkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114588431 PECOS PAC ID: 9537577838 Enrollment ID: I20210427001676 |
| Provider Name | Jason B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669987335 PECOS PAC ID: 8123421815 Enrollment ID: I20210719001516 |
| Provider Name | Walter Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063011005 PECOS PAC ID: 6002210994 Enrollment ID: I20210816000759 |
| Provider Name | Terngu D Ibilah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346761947 PECOS PAC ID: 8729477252 Enrollment ID: I20211122002380 |
| Provider Name | Amanda B Alldredge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699331165 PECOS PAC ID: 8426460577 Enrollment ID: I20220808001359 |
| Provider Name | Matthew Bartow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922460807 PECOS PAC ID: 5799068870 Enrollment ID: I20220817001945 |
| Provider Name | Van Millin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275682247 PECOS PAC ID: 6709863129 Enrollment ID: I20220902001403 |
Community Medical Arts Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3156 | |
Tallassee Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 | |
Michael W. Peaden Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 | |
Ivy Creek Family Care Of Tallassee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2542 | |
Neptune Tech - Tallassee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Al Highway 229 S, Tallassee, AL 36078 Phone: 334-283-7230 | |
Thomas D Bianchi M.d.p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Herren Hill Rd, Suite E, Tallassee, AL 36078 Phone: 334-283-3862 Fax: 334-283-3871 |