| Neurology Consultants Of Montgomery, Pc | |
|
1722 Pine St Suite 700 Montgomery AL 36106-1103 | |
| (334) 834-1300 | |
| (334) 834-8347 |
| Full Name | Neurology Consultants Of Montgomery, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1722 Pine St, Montgomery, Alabama |
| Authorized Official Name and Position | Jessica Mclemore (PRESIDENT/OWNER) |
| Authorized Official Contact | 3348341300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Of Montgomery, Pc 1722 Pine Street Suite 700 Montgomery AL 36106-1103 Ph: (334) 834-1300 | Neurology Consultants Of Montgomery, Pc 1722 Pine St Suite 700 Montgomery AL 36106-1103 Ph: (334) 834-1300 |
| NPI Number | 1487718607 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 6507849122 |
|---|---|
| Medicare Enrollment ID | O20040612000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487718607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Paige C Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992957575 PECOS PAC ID: 4587728498 Enrollment ID: I20090121000419 |
| Provider Name | Larry W Epperson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669469888 PECOS PAC ID: 8729099924 Enrollment ID: I20100916000775 |
| Provider Name | Audrey Noel Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811339252 PECOS PAC ID: 1658501069 Enrollment ID: I20140305000243 |
| Provider Name | Elizabeth Alison Knight Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213898 PECOS PAC ID: 7315363306 Enrollment ID: I20200820003890 |
| Provider Name | Jessica Mclemore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063945616 PECOS PAC ID: 3375810658 Enrollment ID: I20210713001011 |
| Provider Name | Brandy Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184045957 PECOS PAC ID: 1759787229 Enrollment ID: I20210908003194 |
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