| Jimmy Gregory Winn, CRNP | |
|
12738 Al Highway 20 Nw, Madison Al 35756, Madison, AL 35756 | |
| (256) 970-2190 | |
| (256) 269-0667 |
| Full Name | Jimmy Gregory Winn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 12738 Al Highway 20 Nw, Madison Al 35756, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124648258 | NPI | - | NPPES |
| 1-159682 | Other | AL | ALABAMA BOARD OF NURSING, RN LICENSE NUMBER |
| 8499 | Other | AL | ALABAMA BOARD OF NURSING, RX NUMBER |
| 23529 | Other | AL | ALABAMA BOARD OF MEDICAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 23529 (Alabama) | Primary |
| Entity Name | Southern Grace Medical Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649890211 PECOS PAC ID: 4082031497 Enrollment ID: O20200831003141 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Gregory Winn, CRNP 1606 Moontown Rd, Brownsboro, AL 35741-9493 Ph: (256) 776-3850 | Jimmy Gregory Winn, CRNP 12738 Al Highway 20 Nw, Madison Al 35756, Madison, AL 35756 Ph: (256) 970-2190 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 | |
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd, Madison, AL 35758 Phone: 256-325-6722 Fax: 256-517-8082 | |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 | |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 | |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 | |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 | |
Jacob Ryan Gray, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 750, Madison, AL 35758 Phone: 256-724-8880 Fax: 888-951-7515 |