| Sueanne Davidson, NP | |
| 108 5th St Ne, Aliceville, AL 35442-2200 | |
| (205) 373-3945 | |
| Not Available | 
| Full Name | Sueanne Davidson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 108 5th St Ne, Aliceville, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508806308 | NPI | - | NPPES | 
| P00191280 | Other | MS | RAILROAD MEDICARE | 
| 08470589 | Medicaid | MS | |
| 562251777 | Other | MS | BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-06250 (Alabama) | Secondary | 
| 363L00000X | Nurse Practitioner | R865907 (Mississippi) | Primary | 
| Entity Name | Medserve, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871883223 PECOS PAC ID: 8628253978 Enrollment ID: O20110429000564 | 
| Entity Name | Cogent Healthcare Of Decatur, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386695500 PECOS PAC ID: 0446141972 Enrollment ID: O20230426000839 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sueanne Davidson, NP Po Box 211, Carrollton, AL 35447-0211 Ph: (205) 399-1433 | Sueanne Davidson, NP 108 5th St Ne, Aliceville, AL 35442-2200 Ph: (205) 373-3945 | 
| Mrs. Nanette Dykes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 5th St Ne, Aliceville, AL 35442 Phone: 205-373-3945 Fax: 205-373-3386 | |
| Mary Gentry,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 5th St Ne, Aliceville, AL 35442 Phone: 205-373-1574 | |
| Mrs. Amy Branyon Bigham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Carrollton Rd Ste B, Aliceville, AL 35442 Phone: 205-373-6323 Fax: 205-373-2544 | |
| Janie Coleman,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 17th St Nw, Aliceville, AL 35442 Phone: 205-373-6307 |