| Mrs Shanda Cotney, CRNP | |
| 1030 Main St S, Wedowee, AL 36278-7440 | |
| (256) 357-2188 | |
| (256) 357-2023 | 
| Full Name | Mrs Shanda Cotney | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1030 Main St S, Wedowee, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255588893 | NPI | - | NPPES | 
| 156870 | Medicaid | AL | |
| 154777 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1072768 (Alabama) | Primary | 
| Entity Name | Careplus Family Medical Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639503055 PECOS PAC ID: 9335374255 Enrollment ID: O20131031001169 | 
| 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 | 
| Entity Name | Anniston Careplus, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295275139 PECOS PAC ID: 0648557801 Enrollment ID: O20170426001461 | 
| Entity Name | Fast Pace Medical Clinic Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Shanda Cotney, CRNP 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Mrs Shanda Cotney, CRNP 1030 Main St S, Wedowee, AL 36278-7440 Ph: (256) 357-2188 | 
| Kimberly L Buckalew, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
| Richard Daniel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main S St, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
| Karen Jo Thompson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
| Mrs. Angela Cox Loveless, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
| Sarah Vanecia Davidson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Main Street, Wedowee, AL 36278 Phone: 256-357-2111 | |
| Ms. Brandi Michelle Holloway,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1030 Main St S Ste A, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 |