Tuscaloosa Primary Care, Llc | |
100 Towncenter Blvd Ste 300 Tuscaloosa AL 35406-1835 | |
(205) 710-3838 | |
(205) 710-3839 |
Full Name | Tuscaloosa Primary Care, Llc |
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Speciality | Family Medicine |
Location | 100 Towncenter Blvd Ste 300, Tuscaloosa, Alabama |
Authorized Official Name and Position | John Dustin Sheppard (OWNER/PHYSICIAN) |
Authorized Official Contact | 2057103383 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tuscaloosa Primary Care, Llc 100 Towncenter Blvd Ste 300 Tuscaloosa AL 35406-1835 Ph: (205) 710-3838 | Tuscaloosa Primary Care, Llc 100 Towncenter Blvd Ste 300 Tuscaloosa AL 35406-1835 Ph: (205) 710-3838 |
NPI Number | 1528544475 |
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Provider Enumeration Date | 07/13/2018 |
Last Update Date | 07/13/2018 |
Medicare PECOS PAC ID | 2062766249 |
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Medicare Enrollment ID | O20181107002296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528544475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Holly K Freeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023106176 PECOS PAC ID: 9739126764 Enrollment ID: I20050412000543 |
Provider Name | Robert N Honea |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083713556 PECOS PAC ID: 0648218008 Enrollment ID: I20050418000815 |
Provider Name | John D Sheppard |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578653010 PECOS PAC ID: 3870520646 Enrollment ID: I20070920000319 |
Provider Name | Steven Coppock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164635926 PECOS PAC ID: 1951443225 Enrollment ID: I20100125000582 |
Provider Name | William R Brooke |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477541548 PECOS PAC ID: 9537357017 Enrollment ID: I20101228000473 |
Provider Name | Paula M Watkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730527920 PECOS PAC ID: 2264654730 Enrollment ID: I20141118000956 |
Provider Name | Lauren Brock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427435643 PECOS PAC ID: 3375856511 Enrollment ID: I20150717000680 |
Provider Name | Megan S Dillard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679939334 PECOS PAC ID: 8729387931 Enrollment ID: I20160421002182 |
Provider Name | Lauren Hanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629497508 PECOS PAC ID: 6608166756 Enrollment ID: I20191108000491 |
Provider Name | Pamela Colette Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215589338 PECOS PAC ID: 6103252895 Enrollment ID: I20200128001460 |
West Alabama Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E Ste 211, Tuscaloosa, AL 35401 Phone: 205-333-4965 | |
Steve Lovelady Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406 Phone: 205-523-7001 | |
Alabama Hospital Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-344-9019 Fax: 205-344-9036 | |
Five Horizons Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 6th St, Tuscaloosa, AL 35401 Phone: 205-759-8470 Fax: 205-366-9001 | |
Whatley Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-752-1517 | |
Mentorup Life Lab & Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Jack Warner Pkwy Ne Ste G2, Tuscaloosa, AL 35404 Phone: 205-771-2261 | |
Maude L. Whatley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2731 Mlk Jr Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 |