| John Mattox Raines, DO | |
|
190 Independent Dr Ste A, Rainbow City, AL 35906-3286 | |
| (256) 442-1834 | |
| (877) 991-4819 |
| Full Name | John Mattox Raines |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 190 Independent Dr Ste A, Rainbow City, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679587737 | NPI | - | NPPES |
| 51519309 | Other | AL | BLUE CROSS AND BLUE SHIEL |
| 01D0888565 | Other | AL | CLIA |
| 009938835 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 417640 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gadsden Regional Medical Center | Gadsden, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Medical Holdings Llc | 1951611417 | 2 |
| Entity Name | Southern Medical Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881073294 PECOS PAC ID: 1951611417 Enrollment ID: O20151112002145 |
| Mailing Address | Practice Location Address |
|---|---|
| John Mattox Raines, DO 190 Independent Dr Ste A, Rainbow City, AL 35906-3286 Ph: (256) 442-1834 | John Mattox Raines, DO 190 Independent Dr Ste A, Rainbow City, AL 35906-3286 Ph: (256) 442-1834 |
James Philip Graham, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 W Grand Ave, Rainbow City, AL 35906 Phone: 256-442-1453 | |
Dr. Sharon M Haynes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3212 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-442-7683 Fax: 256-442-8357 | |
Ms. Rochelle Grant, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E Grand Ave, Rainbow City, AL 35906 Phone: 256-413-1333 Fax: 256-413-0078 | |
Dr. Frederick Wayne Kelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 W Grand Ave, Rainbow City, AL 35906 Phone: 256-459-5132 Fax: 256-459-5179 |