| Alabama Family Medical Center, Llc | |
|
1718 Veterans Memorial Pkwy Suite C Tuscaloosa AL 35404 | |
| (205) 553-1900 | |
| (205) 553-4575 |
| Full Name | Alabama Family Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1718 Veterans Memorial Pkwy, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Sasank Raheel Peramsetty (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2055531900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Family Medical Center, Llc 1718 Veterans Memorial Pkwy Suite C Tuscaloosa AL 35404-4708 Ph: (205) 553-1900 | Alabama Family Medical Center, Llc 1718 Veterans Memorial Pkwy Suite C Tuscaloosa AL 35404 Ph: (205) 553-1900 |
| NPI Number | 1245226489 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 3173567260 |
|---|---|
| Medicare Enrollment ID | O20250306001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245226489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 24373 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 21446 (Alabama) | Primary |
| Provider Name | Bobbie S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265549851 PECOS PAC ID: 2163514274 Enrollment ID: I20070822000111 |
| Provider Name | Tracy C Grissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154654374 PECOS PAC ID: 2860527983 Enrollment ID: I20100315000825 |
| Provider Name | Shanna L Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366716722 PECOS PAC ID: 5890947303 Enrollment ID: I20121210000016 |
| Provider Name | Amy M Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973125 PECOS PAC ID: 1254620834 Enrollment ID: I20170125001566 |
| Provider Name | Jinwoo Hur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306336011 PECOS PAC ID: 2062763485 Enrollment ID: I20200812003836 |
| Provider Name | Kelli E. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396323036 PECOS PAC ID: 5890102990 Enrollment ID: I20210407000345 |
| Provider Name | Caitlyn Noel Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710552823 PECOS PAC ID: 3173927951 Enrollment ID: I20210803000001 |
| Provider Name | Mallory Brooke Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932859774 PECOS PAC ID: 9032593538 Enrollment ID: I20220901001427 |
| Provider Name | Sean D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164198677 PECOS PAC ID: 6002205747 Enrollment ID: I20230117000845 |
| Provider Name | Herlecia Renay Caldwell-rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649976630 PECOS PAC ID: 8426413691 Enrollment ID: I20230424001817 |
| Provider Name | Sasank Raheel Peramsetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225666175 PECOS PAC ID: 5294133740 Enrollment ID: I20230829000616 |
Viatru Life Solutions, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Palisades Dr Ste B, Tuscaloosa, AL 35405 Phone: 833-484-2878 | |
Fresh Outlook Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Cumberland Park, Tuscaloosa, AL 35404 Phone: 205-393-1319 | |
Tuscaloosa's One Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 27th Ave, Tuscaloosa, AL 35401 Phone: 205-462-1000 Fax: 205-462-1001 | |
Crimson Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2303 13th St, Tuscaloosa, AL 35401 Phone: 205-737-4675 | |
Allie C. Boyd, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Fairfax Park, Tuscaloosa, AL 35406 Phone: 205-759-3229 Fax: 205-759-4151 | |
Brewer Porch Childre's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Woodland Rd, Tuscaloosa, AL 35404 Phone: 205-348-7236 Fax: 205-348-9368 | |
Brewer Porch Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Woodland Rd, Tuscaloosa, AL 35404 Phone: 205-348-7236 |