| Angela Marie Pate, | |
| 2425 Highway 77, Southside, AL 35907-7907 | |
| (256) 442-4141 | |
| Not Available | 
| Full Name | Angela Marie Pate | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2425 Highway 77, Southside, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386336493 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-085993 (Alabama) | Primary | 
| Entity Name | Gadsden Regional Physician Group Practice Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558506550 PECOS PAC ID: 1254497670 Enrollment ID: O20090309000585 | 
| Entity Name | Southern Immediate Care, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela Marie Pate, 1450 Holiday Dr, Southside, AL 35907-0608 Ph: (256) 617-1414 | Angela Marie Pate, 2425 Highway 77, Southside, AL 35907-7907 Ph: (256) 442-4141 | 
| Gina Bolton Farley,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5895 Katherine St, Southside, AL 35907 Phone: 256-490-9304 | |
| Mindy Beth O'bryant, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3907 Hood Dr, Southside, AL 35907 Phone: 256-689-1038 | |
| Mrs. Sarah Ashley Freeman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-413-6575 | |
| Amanda Michelle Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 Berkley Hills Dr E, Southside, AL 35907 Phone: 256-490-9900 | |
| Misty Lynne Holcomb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 Fax: 256-442-4157 |