| University Of South Alabama Health Care Authority | |
|
6300 Usa Health Blvd Mobile AL 36608 | |
| (251) 633-8880 | |
| Not Available |
| Full Name | University Of South Alabama Health Care Authority |
|---|---|
| Speciality | Internal Medicine |
| Location | 6300 Usa Health Blvd, Mobile, Alabama |
| Authorized Official Name and Position | G Scott Weldon (VP FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 2514607500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of South Alabama Health Care Authority 307 N University Blvd Ad 170 Mobile AL 36688-0002 Ph: () - | University Of South Alabama Health Care Authority 6300 Usa Health Blvd Mobile AL 36608 Ph: (251) 633-8880 |
| NPI Number | 1508392432 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 4082986088 |
|---|---|
| Medicare Enrollment ID | O20170825003180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508392432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary H Honkanen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316986052 PECOS PAC ID: 4486543238 Enrollment ID: I20040311000568 |
| Provider Name | Susann C Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528009784 PECOS PAC ID: 9830088699 Enrollment ID: I20040311000628 |
| Provider Name | Jonathan C Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821065509 PECOS PAC ID: 6103716451 Enrollment ID: I20040318001442 |
| Provider Name | Jean A Sansaricq |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376578088 PECOS PAC ID: 9931193182 Enrollment ID: I20040412001095 |
| Provider Name | Donnelly B Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689613473 PECOS PAC ID: 5092782904 Enrollment ID: I20040910001084 |
| Provider Name | Daniela Weatherly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184691859 PECOS PAC ID: 1759342397 Enrollment ID: I20041026000769 |
| Provider Name | Marirose C Trimmier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083669006 PECOS PAC ID: 6103883970 Enrollment ID: I20041213001071 |
| Provider Name | Charles H Bryars |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063484335 PECOS PAC ID: 7113965740 Enrollment ID: I20050422000827 |
| Provider Name | Lorie G Fleck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962487934 PECOS PAC ID: 2860388782 Enrollment ID: I20050520000207 |
| Provider Name | Kristie Burch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679558662 PECOS PAC ID: 4385688969 Enrollment ID: I20050614001289 |
| Provider Name | David N Pate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477569432 PECOS PAC ID: 6103855101 Enrollment ID: I20050810000548 |
| Provider Name | Charla J Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770697500 PECOS PAC ID: 0648296756 Enrollment ID: I20051018001013 |
| Provider Name | Carmen G May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043264294 PECOS PAC ID: 5799704201 Enrollment ID: I20051114001166 |
| Provider Name | Christine L Fouty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396774105 PECOS PAC ID: 4385615103 Enrollment ID: I20051128000126 |
| Provider Name | Neelam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021435 PECOS PAC ID: 0547274433 Enrollment ID: I20060131000119 |
| Provider Name | Robert A Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184663296 PECOS PAC ID: 8325054372 Enrollment ID: I20060228000382 |
| Provider Name | Erin Saucier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306893292 PECOS PAC ID: 4385656693 Enrollment ID: I20060630000223 |
| Provider Name | Karen L Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659395341 PECOS PAC ID: 6901808765 Enrollment ID: I20070207000171 |
| Provider Name | Elizabeth G Mathison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750398434 PECOS PAC ID: 2668576414 Enrollment ID: I20070403000679 |
| Provider Name | Romsel Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467537688 PECOS PAC ID: 6406957869 Enrollment ID: I20070730000253 |
| Provider Name | Kristina E Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598831422 PECOS PAC ID: 3779677596 Enrollment ID: I20070924000360 |
| Provider Name | James N Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194815092 PECOS PAC ID: 1254420177 Enrollment ID: I20071130000025 |
| Provider Name | Jocelyn E Hewitt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407047129 PECOS PAC ID: 1456309129 Enrollment ID: I20080109000214 |
| Provider Name | John Houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841201274 PECOS PAC ID: 9032287024 Enrollment ID: I20081003000422 |
| Provider Name | Kathy E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932355765 PECOS PAC ID: 2769541994 Enrollment ID: I20081103000662 |
| Provider Name | Roberta Swain |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700826443 PECOS PAC ID: 8628132537 Enrollment ID: I20090121000387 |
| Provider Name | Gino Divittorio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366456295 PECOS PAC ID: 4385770155 Enrollment ID: I20100331000427 |
| Provider Name | Allison Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528072113 PECOS PAC ID: 4486780269 Enrollment ID: I20100331000535 |
| Provider Name | John Delmas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568476588 PECOS PAC ID: 3476689183 Enrollment ID: I20100406000486 |
| Provider Name | Ehab A Molokhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295780161 PECOS PAC ID: 5092844431 Enrollment ID: I20100524000878 |
| Provider Name | Rebecca V Curtiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346254356 PECOS PAC ID: 8921138470 Enrollment ID: I20100610000532 |
| Provider Name | Teresa Oglesby |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740295559 PECOS PAC ID: 5496886103 Enrollment ID: I20100624000456 |
| Provider Name | Marla Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508872557 PECOS PAC ID: 6406987122 Enrollment ID: I20100624000552 |
| Provider Name | James Simpson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114933181 PECOS PAC ID: 0941331516 Enrollment ID: I20100625000191 |
| Provider Name | Thomas A Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376559310 PECOS PAC ID: 0941331417 Enrollment ID: I20100628000122 |
| Provider Name | Monica T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871810812 PECOS PAC ID: 8022149509 Enrollment ID: I20100628000265 |
| Provider Name | Thomas C Myers |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417963471 PECOS PAC ID: 7810028305 Enrollment ID: I20100628000318 |
| Provider Name | James L Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922014901 PECOS PAC ID: 7618879511 Enrollment ID: I20100708000712 |
| Provider Name | Robert Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841204443 PECOS PAC ID: 2264519396 Enrollment ID: I20100709000657 |
| Provider Name | Amy M Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184709263 PECOS PAC ID: 8224160015 Enrollment ID: I20100714000336 |
| Provider Name | Ralph L Irvin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760482111 PECOS PAC ID: 5092601948 Enrollment ID: I20100719000492 |
| Provider Name | Judson K Menefee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407957046 PECOS PAC ID: 9234262676 Enrollment ID: I20100805000152 |
| Provider Name | Donna Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568446995 PECOS PAC ID: 8123066776 Enrollment ID: I20101123000220 |
| Provider Name | Wilburn D Bolton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225267289 PECOS PAC ID: 3375725120 Enrollment ID: I20110315000747 |
| Provider Name | Latonya A Wilder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477712990 PECOS PAC ID: 5496932360 Enrollment ID: I20110601000326 |
| Provider Name | Cara Brooke Lenz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942427810 PECOS PAC ID: 6608053871 Enrollment ID: I20110616000116 |
| Provider Name | Kimberly Donnellan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376762815 PECOS PAC ID: 1052435781 Enrollment ID: I20110727000043 |
| Provider Name | Amy Woodward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427218759 PECOS PAC ID: 1951571355 Enrollment ID: I20110822000471 |
| Provider Name | Vyshali M Reddy Loupe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659531440 PECOS PAC ID: 9032382569 Enrollment ID: I20111028000455 |
| Provider Name | Belin Fred Bodie |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891798807 PECOS PAC ID: 1557534609 Enrollment ID: I20111104000463 |
| Provider Name | Bryan Delaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504755 PECOS PAC ID: 0143493155 Enrollment ID: I20111107000529 |
| Provider Name | Rocio Aleman Hilpert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730484577 PECOS PAC ID: 9032380233 Enrollment ID: I20120327000150 |
| Provider Name | Matthew Griffin Mcintyre |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659450666 PECOS PAC ID: 2769645944 Enrollment ID: I20120525000490 |
| Provider Name | Lisa A Shepler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093945644 PECOS PAC ID: 5092962787 Enrollment ID: I20120831000460 |
| Provider Name | Margaret G Kappel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376853242 PECOS PAC ID: 8022253046 Enrollment ID: I20130322000225 |
| Provider Name | Brianne M Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205909769 PECOS PAC ID: 4082783766 Enrollment ID: I20130322000395 |
| Provider Name | Jennifer Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833053 PECOS PAC ID: 8325285737 Enrollment ID: I20130502000161 |
| Provider Name | William J Terry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134380496 PECOS PAC ID: 7810133584 Enrollment ID: I20130715000527 |
| Provider Name | Nina J Hibbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568800712 PECOS PAC ID: 2567602535 Enrollment ID: I20130716000321 |
| Provider Name | Yanming Xing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154594737 PECOS PAC ID: 1951547892 Enrollment ID: I20130726000095 |
| Provider Name | Rachel T Seaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306157904 PECOS PAC ID: 5395983431 Enrollment ID: I20130803000170 |
| Provider Name | Sharon M Bush-coaxum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265674196 PECOS PAC ID: 7517191125 Enrollment ID: I20131015001534 |
| Provider Name | Kimberly R Keith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053361691 PECOS PAC ID: 1759500028 Enrollment ID: I20140918000976 |
| Provider Name | Rosanne B Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821406026 PECOS PAC ID: 8123240355 Enrollment ID: I20141104000488 |
| Provider Name | Chrystal M Griffis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033379706 PECOS PAC ID: 6204001258 Enrollment ID: I20150319001882 |
| Provider Name | Katelyn Parnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003103771 PECOS PAC ID: 7911148622 Enrollment ID: I20150714002086 |
| Provider Name | Jessica Lynn Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093005779 PECOS PAC ID: 5092023150 Enrollment ID: I20151009000968 |
| Provider Name | Arthur M Matthews |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760417612 PECOS PAC ID: 0749297638 Enrollment ID: I20160328000563 |
| Provider Name | Christopher Keel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619111200 PECOS PAC ID: 7911124359 Enrollment ID: I20160816002305 |
| Provider Name | De'arco R Mccreary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750624508 PECOS PAC ID: 7517181092 Enrollment ID: I20160831000433 |
| Provider Name | Brenda Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265812424 PECOS PAC ID: 3375859309 Enrollment ID: I20161202000495 |
| Provider Name | Lisa Rae Bailey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265791123 PECOS PAC ID: 5698088516 Enrollment ID: I20170831002875 |
| Provider Name | Theresa Yarbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730573627 PECOS PAC ID: 7911203526 Enrollment ID: I20171006001845 |
| Provider Name | Rebecca Susan Sollie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407241136 PECOS PAC ID: 7719283068 Enrollment ID: I20171128000600 |
| Provider Name | Brandy Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972015501 PECOS PAC ID: 8820356033 Enrollment ID: I20171218000232 |
| Provider Name | Phyllus Justice |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134539455 PECOS PAC ID: 3072878743 Enrollment ID: I20180530000662 |
| Provider Name | Charleen Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821590647 PECOS PAC ID: 0547516247 Enrollment ID: I20180711001806 |
| Provider Name | Amber Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891296232 PECOS PAC ID: 0547519746 Enrollment ID: I20180821004046 |
| Provider Name | Adam Dean Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174919153 PECOS PAC ID: 5294025193 Enrollment ID: I20180919001648 |
| Provider Name | Payton Statkewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261684 PECOS PAC ID: 4880991710 Enrollment ID: I20181018002606 |
| Provider Name | Stephanie Marie Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897454 PECOS PAC ID: 4284940529 Enrollment ID: I20181022002187 |
| Provider Name | Erin Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548898 PECOS PAC ID: 0446504385 Enrollment ID: I20181113002250 |
| Provider Name | Alexandria Hellmich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386147247 PECOS PAC ID: 4284979519 Enrollment ID: I20181214001140 |
| Provider Name | Rufaat Mando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205242591 PECOS PAC ID: 3072869262 Enrollment ID: I20181220001613 |
| Provider Name | Stephen Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568897668 PECOS PAC ID: 4789934589 Enrollment ID: I20181226002483 |
| Provider Name | Michael P Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750701355 PECOS PAC ID: 0345546313 Enrollment ID: I20190328001314 |
| Provider Name | Daphne T Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467833608 PECOS PAC ID: 3274847686 Enrollment ID: I20190618000516 |
| Provider Name | Peyton Williams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164083556 PECOS PAC ID: 4688900384 Enrollment ID: I20190801000877 |
| Provider Name | Timothy Lee Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856732 PECOS PAC ID: 4587944889 Enrollment ID: I20190923002270 |
| Provider Name | William A Kittrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817169 PECOS PAC ID: 9739323403 Enrollment ID: I20191010002405 |
| Provider Name | Hannah Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619523461 PECOS PAC ID: 5991036378 Enrollment ID: I20191016001978 |
| Provider Name | Tinsley P Chavers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083250583 PECOS PAC ID: 4688000946 Enrollment ID: I20200204002323 |
| Provider Name | Rhett H Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265083158 PECOS PAC ID: 0345677431 Enrollment ID: I20200302002661 |
| Provider Name | Pamela L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016713 PECOS PAC ID: 0840629713 Enrollment ID: I20200330001093 |
| Provider Name | Naomi S Clinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780218701 PECOS PAC ID: 7618306309 Enrollment ID: I20200331003735 |
| Provider Name | Joseph L Cottone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639177447 PECOS PAC ID: 7517971047 Enrollment ID: I20200407001464 |
| Provider Name | Kellie S Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932732229 PECOS PAC ID: 1557790847 Enrollment ID: I20200408001201 |
| Provider Name | Andrew Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447887567 PECOS PAC ID: 1355771932 Enrollment ID: I20200422001950 |
| Provider Name | William Marc Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770581456 PECOS PAC ID: 7416920038 Enrollment ID: I20200506003112 |
| Provider Name | Martha Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578184438 PECOS PAC ID: 1254752496 Enrollment ID: I20200526003185 |
| Provider Name | David C Owens |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780624304 PECOS PAC ID: 8628049137 Enrollment ID: I20200601001965 |
| Provider Name | Ara Travers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659314979 PECOS PAC ID: 8729017363 Enrollment ID: I20200603003178 |
| Provider Name | Jenna Morgan Pfleeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791130 PECOS PAC ID: 0345504981 Enrollment ID: I20200625002554 |
| Provider Name | Keerthi Reddy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700296795 PECOS PAC ID: 0749530608 Enrollment ID: I20200714003433 |
| Provider Name | Skylar G Saville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003349275 PECOS PAC ID: 1850642968 Enrollment ID: I20200721004438 |
| Provider Name | Robert A Greer |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1912386194 PECOS PAC ID: 3476869728 Enrollment ID: I20200723001196 |
| Provider Name | Hamdy Mohamed Abdelaziz Ahmed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093198632 PECOS PAC ID: 4486908936 Enrollment ID: I20200806000694 |
| Provider Name | Robert Petrossian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942664370 PECOS PAC ID: 3476899402 Enrollment ID: I20200812003376 |
| Provider Name | Robert Ross |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902957111 PECOS PAC ID: 8820414188 Enrollment ID: I20200817003184 |
| Provider Name | Breanne Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699307942 PECOS PAC ID: 8820415631 Enrollment ID: I20200825001982 |
| Provider Name | Austin Younger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992068183 PECOS PAC ID: 0648569426 Enrollment ID: I20200903001340 |
| Provider Name | Heather Fishel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487049300 PECOS PAC ID: 7517266117 Enrollment ID: I20200917003277 |
| Provider Name | Brittany Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750993945 PECOS PAC ID: 2365861184 Enrollment ID: I20200929000681 |
| Provider Name | Roderick S Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215391354 PECOS PAC ID: 1557656519 Enrollment ID: I20201002001541 |
| Provider Name | Deanna Willyerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578178943 PECOS PAC ID: 3577983303 Enrollment ID: I20201016002174 |
| Provider Name | Marnita Monique Stallworth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386250249 PECOS PAC ID: 3173935277 Enrollment ID: I20201215000247 |
| Provider Name | Mason Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770979882 PECOS PAC ID: 5395041453 Enrollment ID: I20201216003199 |
| Provider Name | Jill Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790384196 PECOS PAC ID: 4486066198 Enrollment ID: I20201221002156 |
| Provider Name | Sarah Fritz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447844055 PECOS PAC ID: 7618383654 Enrollment ID: I20210317000450 |
| Provider Name | Peter C Rippey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477715712 PECOS PAC ID: 6204722010 Enrollment ID: I20210318002641 |
| Provider Name | Katherine N Spadafora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093766552 PECOS PAC ID: 7517935265 Enrollment ID: I20210406000299 |
| Provider Name | Jennifer Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518320464 PECOS PAC ID: 2264719202 Enrollment ID: I20210406000475 |
| Provider Name | Robin Mcnair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043211279 PECOS PAC ID: 4789092669 Enrollment ID: I20210413002413 |
| Provider Name | Robert A. Mevorach |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265471536 PECOS PAC ID: 9830232560 Enrollment ID: I20210421001769 |
| Provider Name | Michael Loudon Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083119473 PECOS PAC ID: 3577808716 Enrollment ID: I20210428002359 |
| Provider Name | Michelle Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427657956 PECOS PAC ID: 0941600498 Enrollment ID: I20210621001829 |
| Provider Name | Jesse Wilburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134610355 PECOS PAC ID: 5193078699 Enrollment ID: I20210708001908 |
| Provider Name | Thomas Andrew Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824429 PECOS PAC ID: 1557648383 Enrollment ID: I20210709000186 |
| Provider Name | Ann I Payne-johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174652275 PECOS PAC ID: 9133203532 Enrollment ID: I20210714000642 |
| Provider Name | Maria Florencia Davila-mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972947794 PECOS PAC ID: 1456650597 Enrollment ID: I20210726002301 |
| Provider Name | Sonia I Savani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528406378 PECOS PAC ID: 7618295775 Enrollment ID: I20210730002022 |
| Provider Name | Jessica Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447778154 PECOS PAC ID: 9931452695 Enrollment ID: I20210802000630 |
| Provider Name | Kara Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396313276 PECOS PAC ID: 9739583253 Enrollment ID: I20210805002187 |
| Provider Name | Tiffany Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568045060 PECOS PAC ID: 4688079379 Enrollment ID: I20210818001931 |
| Provider Name | Marcelo Gerjoi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821276676 PECOS PAC ID: 2163591512 Enrollment ID: I20210902003122 |
| Provider Name | Abrahim Hanjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396240487 PECOS PAC ID: 5597019646 Enrollment ID: I20211026001325 |
| Provider Name | Micah J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760779904 PECOS PAC ID: 5890965339 Enrollment ID: I20211104000555 |
| Provider Name | Craig C Oliver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831552538 PECOS PAC ID: 6507151800 Enrollment ID: I20211110001750 |
| Provider Name | Mariarita Salvitti Fermin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225438666 PECOS PAC ID: 0840542866 Enrollment ID: I20211230001673 |
| Provider Name | Tiffany Baugh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023456936 PECOS PAC ID: 4981839099 Enrollment ID: I20220106001313 |
| Provider Name | Nikita Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174274997 PECOS PAC ID: 6103219084 Enrollment ID: I20220217001753 |
| Provider Name | Diana M Decotis-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104055599 PECOS PAC ID: 1557500204 Enrollment ID: I20220221002138 |
| Provider Name | Kathryn Azelia Hale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427271261 PECOS PAC ID: 6608922950 Enrollment ID: I20220315000334 |
| Provider Name | Jodi Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202538 PECOS PAC ID: 5193031334 Enrollment ID: I20220318000306 |
| Provider Name | Samuel C Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487115838 PECOS PAC ID: 7719219229 Enrollment ID: I20220627001062 |
| Provider Name | Kathryn Currier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243986 PECOS PAC ID: 5193107605 Enrollment ID: I20220801000313 |
| Provider Name | Sarah E Mcmullin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710332218 PECOS PAC ID: 4587902267 Enrollment ID: I20220817002500 |
| Provider Name | Aaron Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508592437 PECOS PAC ID: 5395128672 Enrollment ID: I20220818003314 |
| Provider Name | Matthew E Clukies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700307949 PECOS PAC ID: 3779857107 Enrollment ID: I20220830001793 |
| Provider Name | Anita Mazloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033607858 PECOS PAC ID: 5991109142 Enrollment ID: I20220831001757 |
| Provider Name | Jewel A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730404377 PECOS PAC ID: 0446496988 Enrollment ID: I20220902002809 |
| Provider Name | Lucas Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396277786 PECOS PAC ID: 1951676667 Enrollment ID: I20220923002260 |
| Provider Name | Matthew Webb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033564687 PECOS PAC ID: 9133412307 Enrollment ID: I20220928001476 |
| Provider Name | Dylan E Caggiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851873079 PECOS PAC ID: 6901238922 Enrollment ID: I20221103002951 |
| Provider Name | Kane Ethan Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853436 PECOS PAC ID: 6406186188 Enrollment ID: I20221123000263 |
| Provider Name | Elizabeth Naman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912655887 PECOS PAC ID: 9830567676 Enrollment ID: I20221129000267 |
| Provider Name | Fang Q Weng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407388697 PECOS PAC ID: 1850665019 Enrollment ID: I20230110002687 |
| Provider Name | Courtney E Meredith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114127222 PECOS PAC ID: 2466628110 Enrollment ID: I20230113002309 |
| Provider Name | Sana Ozair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448931 PECOS PAC ID: 4688906829 Enrollment ID: I20230126001663 |
| Provider Name | Kelly Ison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811492200 PECOS PAC ID: 4587917844 Enrollment ID: I20230213000011 |
| Provider Name | Daphne E Diaz Vazquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760863526 PECOS PAC ID: 0840616132 Enrollment ID: I20230222000286 |
| Provider Name | Vanessa Cloutier Thibodeaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245572031 PECOS PAC ID: 8921224858 Enrollment ID: I20230223001153 |
| Provider Name | Richelle Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488350 PECOS PAC ID: 2062845597 Enrollment ID: I20230224000106 |
| Provider Name | Joanne Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417037748 PECOS PAC ID: 0547420986 Enrollment ID: I20230322001559 |
| Provider Name | Ravali Kondaveeti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154819613 PECOS PAC ID: 9234478983 Enrollment ID: I20230324001724 |
| Provider Name | Kevin Giattina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205458866 PECOS PAC ID: 9133594476 Enrollment ID: I20230419000109 |
| Provider Name | Amber Michelle Mccollough Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508576554 PECOS PAC ID: 0840655064 Enrollment ID: I20230421002660 |
| Provider Name | Allison C Calhoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215374590 PECOS PAC ID: 9931339942 Enrollment ID: I20230516000179 |
| Provider Name | Allessa A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669792776 PECOS PAC ID: 7719125046 Enrollment ID: I20230518000171 |
| Provider Name | Megan Elizabeth Lutkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710689104 PECOS PAC ID: 8123484722 Enrollment ID: I20230524003028 |
| Provider Name | Taylor Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386345114 PECOS PAC ID: 8628435997 Enrollment ID: I20230531002403 |
| Provider Name | Michael S Galitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275503690 PECOS PAC ID: 5193963619 Enrollment ID: I20230607000570 |
| Provider Name | Mary Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184301970 PECOS PAC ID: 1355796673 Enrollment ID: I20231006000161 |
| Provider Name | Jonathan Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861421406 PECOS PAC ID: 7315944907 Enrollment ID: I20231006000296 |
| Provider Name | Garrick J Slate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386844702 PECOS PAC ID: 8325110174 Enrollment ID: I20231010001201 |
| Provider Name | Jatinder Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811456866 PECOS PAC ID: 7719391507 Enrollment ID: I20231220001327 |
| Provider Name | Elizabeth Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407224 PECOS PAC ID: 4688902653 Enrollment ID: I20240215003065 |
| Provider Name | Thomas Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649807751 PECOS PAC ID: 9133548753 Enrollment ID: I20240417003639 |
| Provider Name | Samar Ali Mohamed Abohamad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568049864 PECOS PAC ID: 2163826413 Enrollment ID: I20240426001183 |
| Provider Name | Ava Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295591857 PECOS PAC ID: 2567803745 Enrollment ID: I20240520000614 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Usa Department Of Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Dr Albert Thomas Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
Usa Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Springhill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |