| Jeremy Keon Prince, DO | |
| 
					15243 Greenfield Dr Ste A, Athens, AL 35613-2899  | |
| (256) 262-5700 | |
| (256) 262-5710 | 
| Full Name | Jeremy Keon Prince | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 15243 Greenfield Dr Ste A, Athens, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629692769 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | PRIN-CYGCZT (Mississippi) | Secondary | 
| 207Q00000X | Family Medicine | DO.3309 (Alabama) | Primary | 
| Entity Name | Genesis Eldercare Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598181349 PECOS PAC ID: 9830002534 Enrollment ID: O20140926000436  | 
| Entity Name | Alignmed Partners Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180517001257  | 
| Entity Name | Limestone Medical Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295419901 PECOS PAC ID: 7012378219 Enrollment ID: O20230803004641  | 
| Entity Name | Alignmed Medical Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366289423 PECOS PAC ID: 3476090440 Enrollment ID: O20240808000598  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeremy Keon Prince, DO 533 Mlk Rd, Aliceville, AL 35442 Ph: (256) 225-1339  | Jeremy Keon Prince, DO 15243 Greenfield Dr Ste A, Athens, AL 35613-2899 Ph: (256) 262-5700  | 
Dr. Andrea Pittman Dunn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22454 Us Highway 72 Ste 310, Athens, AL 35613 Phone: 256-216-9744 Fax: 256-216-9754  | |
Binod Bista, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 W Washington St, Athens, AL 35611 Phone: 256-216-9777  | |
Dr. Christopher Bunyan Cole, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 W Market St, Suite B, Athens, AL 35611 Phone: 256-230-3061 Fax: 256-230-3009  | |
Wendell K Shannon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Hobbs St, Athens, AL 35611 Phone: 256-216-9777 Fax: 256-216-9776  | |
Melissa C Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 W Market St Ste D, Athens, AL 35611 Phone: 256-787-2924 Fax: 256-408-9971  | |
Dr. Belinda Maples, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611 Phone: 256-232-0636 Fax: 256-232-1058  | |
Phillip R Ingram Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 W Washington St, Athens, AL 35611 Phone: 256-216-9777  |