| Whitfield Family Practice Llc | |
|
2828 Highway 31 S Ste 111 Decatur AL 35603-1538 | |
| (256) 686-3456 | |
| Not Available |
| Full Name | Whitfield Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2828 Highway 31 S Ste 111, Decatur, Alabama |
| Authorized Official Name and Position | Amber Johnson Whitfield (OWNER) |
| Authorized Official Contact | 2566863456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitfield Family Practice Llc 2828 Highway 31 S Ste 111 Decatur AL 35603-1538 Ph: (256) 686-3456 | Whitfield Family Practice Llc 2828 Highway 31 S Ste 111 Decatur AL 35603-1538 Ph: (256) 686-3456 |
| NPI Number | 1013507680 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 08/13/2023 |
| Medicare PECOS PAC ID | 0143635375 |
|---|---|
| Medicare Enrollment ID | O20210219001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013507680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chad W Mcelroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154472355 PECOS PAC ID: 0143322776 Enrollment ID: I20070228000045 |
| Provider Name | Amber J Whitfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053574178 PECOS PAC ID: 1850559402 Enrollment ID: I20120823000564 |
| Provider Name | Andrea N Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407278419 PECOS PAC ID: 4082838115 Enrollment ID: I20140611002288 |
| Provider Name | Allison C Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295272938 PECOS PAC ID: 1254618895 Enrollment ID: I20170508001739 |
| Provider Name | Stephanie F Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295245298 PECOS PAC ID: 7012271596 Enrollment ID: I20180509001261 |
| Provider Name | Laura Beth O'rear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071328 PECOS PAC ID: 3971909227 Enrollment ID: I20210911000023 |
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