| Kolbe Clinic Llc | |
|
1830 Montclair Rd Ste A Irondale AL 35210 | |
| (205) 775-0300 | |
| (205) 618-9706 |
| Full Name | Kolbe Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1830 Montclair Rd Ste A, Irondale, Alabama |
| Authorized Official Name and Position | William Carl Wainscott (CEO) |
| Authorized Official Contact | 2056189899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolbe Clinic Llc 1830 Montclair Rd Ste A Irondale AL 35210-2645 Ph: (205) 618-9899 | Kolbe Clinic Llc 1830 Montclair Rd Ste A Irondale AL 35210 Ph: (205) 775-0300 |
| NPI Number | 1841675865 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Medicare PECOS PAC ID | 4183925910 |
|---|---|
| Medicare Enrollment ID | O20151221000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841675865 | NPI | - | NPPES |
| Provider Name | Charles E. Singleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275623639 PECOS PAC ID: 3173410958 Enrollment ID: I20040304000669 |
| Provider Name | Donald B Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365587 PECOS PAC ID: 3375529209 Enrollment ID: I20040629001340 |
| Provider Name | Thomas E Moody |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265405039 PECOS PAC ID: 4082640479 Enrollment ID: I20050718000420 |
| Provider Name | Karen Elizabeth Avery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447293428 PECOS PAC ID: 6204877673 Enrollment ID: I20061003000420 |
| Provider Name | James Russell Hutcherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477756542 PECOS PAC ID: 9537249610 Enrollment ID: I20080102000019 |
| Provider Name | Daniel G Mejer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710988720 PECOS PAC ID: 6204913312 Enrollment ID: I20080414000161 |
| Provider Name | Wilbur Glen Wells |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861458366 PECOS PAC ID: 1850417122 Enrollment ID: I20100923000785 |
| Provider Name | Carl T Frosina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558346312 PECOS PAC ID: 9234129685 Enrollment ID: I20101214000099 |
| Provider Name | Erin Emmanuel Hanover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073716064 PECOS PAC ID: 4981882966 Enrollment ID: I20110621000668 |
| Provider Name | Cheryl G Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568974954 PECOS PAC ID: 8628328481 Enrollment ID: I20180829002256 |
| Provider Name | David Jeremy Aarons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841491859 PECOS PAC ID: 0042451023 Enrollment ID: I20190731000307 |
| Provider Name | Andrew Marc Friede |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063979060 PECOS PAC ID: 3072840727 Enrollment ID: I20190805000378 |
| Provider Name | Quachetta Lashae Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972089712 PECOS PAC ID: 2668701244 Enrollment ID: I20190906001626 |
| Provider Name | Brenda G Burnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043743982 PECOS PAC ID: 0042597031 Enrollment ID: I20200812001505 |
| Provider Name | Jennifer Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265045645 PECOS PAC ID: 4981009370 Enrollment ID: I20210824000350 |
| Provider Name | Miranda New |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669957635 PECOS PAC ID: 1254718240 Enrollment ID: I20220512001514 |
| Provider Name | Javier V Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841907714 PECOS PAC ID: 9830568872 Enrollment ID: I20221213002671 |
| Provider Name | Michaela Nolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255015897 PECOS PAC ID: 0446619282 Enrollment ID: I20230711002665 |
| Provider Name | Kevin Hays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053567255 PECOS PAC ID: 6800239153 Enrollment ID: I20240205000054 |
| Provider Name | Ariela Aaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225438468 PECOS PAC ID: 5395180855 Enrollment ID: I20240223004138 |
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