| David Russell Adams, CRNP | |
|
702 N Main St, Opp, AL 36467-1626 | |
| (334) 456-0300 | |
| (716) 265-3348 |
| Full Name | David Russell Adams |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 702 N Main St, Opp, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275158578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1-141670 (Alabama) | Primary |
| Entity Name | Sgmp Southland, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20200925001644 |
| Mailing Address | Practice Location Address |
|---|---|
| David Russell Adams, CRNP 29289 Beulah Church Rd, Opp, AL 36467-4307 Ph: (334) 456-0300 | David Russell Adams, CRNP 702 N Main St, Opp, AL 36467-1626 Ph: (334) 456-0300 |
Tracy Odom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Paulk Ave Ste A, Opp, AL 36467 Phone: 334-493-0311 Fax: 334-493-0355 |
Kimberly Hornsby, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Brantley St, Opp, AL 36467 Phone: 334-493-4472 |
Patricia Leigh Rountree, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 |
Mrs. Tonya Wynette Wright, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 Brantley St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 |
Lisa Adamson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Us Highway 84 W, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-493-3836 |
Katie Spurlin Bowers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 |
Ms. Cheryl Ann Foster, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Us Highway 84 W, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825 |