| Addison Medical Clinic | |
|
16356 County Road 41 Addison AL 35540 | |
| (256) 747-1186 | |
| (256) 747-1196 |
| Full Name | Addison Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 16356 County Road 41, Addison, Alabama |
| Authorized Official Name and Position | Terry M James (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2567471186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Medical Clinic Po Box 449 Addison AL 35540-0449 Ph: (256) 747-1186 | Addison Medical Clinic 16356 County Road 41 Addison AL 35540 Ph: (256) 747-1186 |
| NPI Number | 1760785406 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 1658555933 |
|---|---|
| Medicare Enrollment ID | O20110411000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760785406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
| Provider Name | Terry M James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225250640 PECOS PAC ID: 7214013259 Enrollment ID: I20080401000039 |
| Provider Name | Tanya S Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679963078 PECOS PAC ID: 0941408546 Enrollment ID: I20160511002539 |
| Provider Name | Kara Godbee Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538608781 PECOS PAC ID: 8527313998 Enrollment ID: I20180626003175 |
| Provider Name | Ashton M Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265940191 PECOS PAC ID: 2860891405 Enrollment ID: I20210601002382 |
| Provider Name | Jayla Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922622372 PECOS PAC ID: 0941699433 Enrollment ID: I20211123001686 |
| Provider Name | Whitney Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083374037 PECOS PAC ID: 8224416672 Enrollment ID: I20220526000423 |