| Thrive Alabama | |
|
600 St Clair Ave Sw Bldg 3 Huntsville AL 35801-5057 | |
| (256) 536-4700 | |
| (256) 382-0803 |
| Full Name | Thrive Alabama |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 St Clair Ave Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Brian Isom (CONTROLLER) |
| Authorized Official Contact | 2564455438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Alabama 600 St Clair Ave Sw Bldg 3 Huntsville AL 35801-5057 Ph: (256) 536-4700 | Thrive Alabama 600 St Clair Ave Sw Bldg 3 Huntsville AL 35801-5057 Ph: (256) 536-4700 |
| NPI Number | 1770635633 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 9032167069 |
|---|---|
| Medicare Enrollment ID | O20050106000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770635633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Charles G Mardis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487752911 PECOS PAC ID: 6406749605 Enrollment ID: I20040203000377 |
| Provider Name | Glenn O Archibald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316947450 PECOS PAC ID: 3779477203 Enrollment ID: I20040213000343 |
| Provider Name | Andrea Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548434079 PECOS PAC ID: 5597936195 Enrollment ID: I20110912000135 |
| Provider Name | Deeann Yvonne Kizziah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922393925 PECOS PAC ID: 7113179318 Enrollment ID: I20121217000246 |
| Provider Name | Jeana E Blalock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524414 PECOS PAC ID: 3476854712 Enrollment ID: I20151210002203 |
| Provider Name | Andrea Hirschbuehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417318403 PECOS PAC ID: 9931498037 Enrollment ID: I20160512001591 |
| Provider Name | Kelly Leigh Cauthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619428323 PECOS PAC ID: 3274813241 Enrollment ID: I20161208001137 |
| Provider Name | Nancy S Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689869026 PECOS PAC ID: 7719269281 Enrollment ID: I20170117001926 |
| Provider Name | Rhanda Haeme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427422948 PECOS PAC ID: 3274807318 Enrollment ID: I20170927004408 |
| Provider Name | Elizabeth S Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457868804 PECOS PAC ID: 6103189840 Enrollment ID: I20180411002282 |
| Provider Name | Charisse C.i. Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497288799 PECOS PAC ID: 4183047079 Enrollment ID: I20200710001689 |
| Provider Name | William Brandon Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427791771 PECOS PAC ID: 7113388505 Enrollment ID: I20230801004272 |
| Provider Name | Daniel Mcneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639630783 PECOS PAC ID: 8820331804 Enrollment ID: I20240221002246 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |