| Affinity Physician Services LLC | |
|
3686 Grandview Pkwy Ste 820 Birmingham AL 35243-3408 | |
| (205) 971-3000 | |
| (205) 971-4910 |
| Full Name | Affinity Physician Services LLC |
|---|---|
| Speciality | General Practice |
| Location | 3686 Grandview Pkwy Ste 820, Birmingham, Alabama |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLL & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Physician Services LLC 3690 Grandview Pkwy Birmingham AL 35243-3326 | Affinity Physician Services LLC 3686 Grandview Pkwy Ste 820 Birmingham AL 35243-3408 Ph: (205) 971-3000 |
| NPI Number | 1366485617 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Medicare PECOS PAC ID | 4385651751 |
|---|---|
| Medicare Enrollment ID | O20060309000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366485617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | William R Harvey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376596890 PECOS PAC ID: 3870588874 Enrollment ID: I20040419000941 |
| Provider Name | Rebecca R Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073616629 PECOS PAC ID: 0648266833 Enrollment ID: I20040422001284 |
| Provider Name | Dale M Greene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508897174 PECOS PAC ID: 5890765598 Enrollment ID: I20040729000922 |
| Provider Name | Kenneth W Bramlett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164449518 PECOS PAC ID: 1759294648 Enrollment ID: I20040816000902 |
| Provider Name | David G Lemak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578530499 PECOS PAC ID: 3274509583 Enrollment ID: I20040908001012 |
| Provider Name | Michael D Dupre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104802495 PECOS PAC ID: 4981665585 Enrollment ID: I20041026000446 |
| Provider Name | Darren P Gannuch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669401709 PECOS PAC ID: 3678531977 Enrollment ID: I20050103000355 |
| Provider Name | Kyle R Hudgens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669475240 PECOS PAC ID: 2264485069 Enrollment ID: I20050221000647 |
| Provider Name | Rodney K Swillie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013910694 PECOS PAC ID: 6608829403 Enrollment ID: I20050221000659 |
| Provider Name | James L Strong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619970290 PECOS PAC ID: 7214980010 Enrollment ID: I20050221000690 |
| Provider Name | Edward W Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578657359 PECOS PAC ID: 2769439033 Enrollment ID: I20050407001260 |
| Provider Name | Stephen P Cowley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053389031 PECOS PAC ID: 2163461070 Enrollment ID: I20050429000698 |
| Provider Name | William a Lemons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679542294 PECOS PAC ID: 4688615644 Enrollment ID: I20050519000690 |
| Provider Name | William D Sudduth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013954718 PECOS PAC ID: 8224079439 Enrollment ID: I20050520000221 |
| Provider Name | Lefferage K Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740210244 PECOS PAC ID: 6709829179 Enrollment ID: I20050607000249 |
| Provider Name | Preston D Wingate |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578500260 PECOS PAC ID: 1254374671 Enrollment ID: I20050607000709 |
| Provider Name | Zenko J Hrynkiw |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780637348 PECOS PAC ID: 9436189859 Enrollment ID: I20050816000583 |
| Provider Name | Randolph L Lamberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255400776 PECOS PAC ID: 1052342110 Enrollment ID: I20050831000871 |
| Provider Name | Archana Jain |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720189590 PECOS PAC ID: 6002815628 Enrollment ID: I20070105000358 |
| Provider Name | Emily M Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225197528 PECOS PAC ID: 8224126370 Enrollment ID: I20071127000040 |
| Provider Name | Gilbert F Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881865103 PECOS PAC ID: 4183702632 Enrollment ID: I20080423000596 |
| Provider Name | William D Whitley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205818242 PECOS PAC ID: 5698854610 Enrollment ID: I20080502000028 |
| Provider Name | Edison Goncalves |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457309593 PECOS PAC ID: 4880765353 Enrollment ID: I20080611000690 |
| Provider Name | Ajay S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881693810 PECOS PAC ID: 2961432034 Enrollment ID: I20080630000293 |
| Provider Name | Gary Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922273796 PECOS PAC ID: 6204902646 Enrollment ID: I20080909000013 |
| Provider Name | Natalie T Reddington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114174604 PECOS PAC ID: 3375601214 Enrollment ID: I20081022000425 |
| Provider Name | Rodrigo Valderrama |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144240656 PECOS PAC ID: 0941236608 Enrollment ID: I20081117000614 |
| Provider Name | Lawrence I Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063424935 PECOS PAC ID: 0446305304 Enrollment ID: I20090831000072 |
| Provider Name | James R Gewin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497751127 PECOS PAC ID: 4183768187 Enrollment ID: I20100215000090 |
| Provider Name | Robert S Wolf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487694188 PECOS PAC ID: 4789589102 Enrollment ID: I20100216000086 |
| Provider Name | Walter Brandner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932115763 PECOS PAC ID: 0042354227 Enrollment ID: I20100225000870 |
| Provider Name | Jorge Arturo Pino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013072461 PECOS PAC ID: 2163550237 Enrollment ID: I20100511000406 |
| Provider Name | Vance Gerald Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720068463 PECOS PAC ID: 7810994290 Enrollment ID: I20100825000156 |
| Provider Name | Elizabeth D Deslattes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982920658 PECOS PAC ID: 6103940374 Enrollment ID: I20100825000957 |
| Provider Name | Douglas Owen Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659351302 PECOS PAC ID: 5092712471 Enrollment ID: I20100827000050 |
| Provider Name | Jeffrey Wade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114967775 PECOS PAC ID: 5395719835 Enrollment ID: I20100907000809 |
| Provider Name | Lora J. Pound |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154421709 PECOS PAC ID: 9830214790 Enrollment ID: I20100915000693 |
| Provider Name | Jack L. Zaremba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104918309 PECOS PAC ID: 2163547043 Enrollment ID: I20100915000885 |
| Provider Name | Linden V Hagemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609196575 PECOS PAC ID: 3375735780 Enrollment ID: I20101004001022 |
| Provider Name | Thomas M Nolen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306858287 PECOS PAC ID: 3072705268 Enrollment ID: I20101006000575 |
| Provider Name | Karla G Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720079908 PECOS PAC ID: 1951594720 Enrollment ID: I20101025001071 |
| Provider Name | Elizabeth a Barron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912998253 PECOS PAC ID: 3971676438 Enrollment ID: I20101122000698 |
| Provider Name | Davis Lee Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790852465 PECOS PAC ID: 6507911690 Enrollment ID: I20101130001161 |
| Provider Name | Rebecca a Moul |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518161504 PECOS PAC ID: 7113115494 Enrollment ID: I20101230000916 |
| Provider Name | Durga P Goli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932165792 PECOS PAC ID: 6406033984 Enrollment ID: I20110609000560 |
| Provider Name | David B. Wilhelm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134155195 PECOS PAC ID: 0446159578 Enrollment ID: I20110711000305 |
| Provider Name | Steven Scarcliff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710168745 PECOS PAC ID: 1456520816 Enrollment ID: I20110802000168 |
| Provider Name | Stephen Suggs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689675936 PECOS PAC ID: 1759343643 Enrollment ID: I20110805000533 |
| Provider Name | Tracy C Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245498989 PECOS PAC ID: 9739358870 Enrollment ID: I20110808000300 |
| Provider Name | Brenton Quinney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336354547 PECOS PAC ID: 9830369172 Enrollment ID: I20110824000654 |
| Provider Name | Farah Y Ghori Javed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073807871 PECOS PAC ID: 4587553573 Enrollment ID: I20110914000651 |
| Provider Name | Saritha Uppala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588829865 PECOS PAC ID: 7315118239 Enrollment ID: I20110923000574 |
| Provider Name | Michael Rankins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285771949 PECOS PAC ID: 2567634603 Enrollment ID: I20111013000334 |
| Provider Name | Gregory Houston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003953662 PECOS PAC ID: 6608048665 Enrollment ID: I20111017000624 |
| Provider Name | David Christopher Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457324352 PECOS PAC ID: 1759357247 Enrollment ID: I20111212000245 |
| Provider Name | Cynthia Poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851696991 PECOS PAC ID: 6608046958 Enrollment ID: I20120203000581 |
| Provider Name | Kellen M Rolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821310095 PECOS PAC ID: 0547412769 Enrollment ID: I20121214000028 |
| Provider Name | Molly S Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190291 PECOS PAC ID: 3870745052 Enrollment ID: I20121217000081 |
| Provider Name | Wendy Rebecca Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396763769 PECOS PAC ID: 1557516408 Enrollment ID: I20130227000242 |
| Provider Name | Brandi K Carbonie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710233184 PECOS PAC ID: 3375786544 Enrollment ID: I20130909000238 |
| Provider Name | Shelby a Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861828915 PECOS PAC ID: 8628203528 Enrollment ID: I20131031000655 |
| Provider Name | Amy Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790109338 PECOS PAC ID: 6406089499 Enrollment ID: I20140428001133 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235554924 PECOS PAC ID: 1850514464 Enrollment ID: I20140529002075 |
| Provider Name | William P Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780978205 PECOS PAC ID: 3072746650 Enrollment ID: I20140611001663 |
| Provider Name | Margot Potter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033436084 PECOS PAC ID: 9032338702 Enrollment ID: I20140910002176 |
| Provider Name | Julian Carlo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598927881 PECOS PAC ID: 1456591759 Enrollment ID: I20141001001595 |
| Provider Name | James Gramling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842015 PECOS PAC ID: 4587987730 Enrollment ID: I20141219001775 |
| Provider Name | Ellen Hamm Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346648706 PECOS PAC ID: 7113244450 Enrollment ID: I20150325000413 |
| Provider Name | Kaci B Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740670280 PECOS PAC ID: 1850619115 Enrollment ID: I20150416001488 |
| Provider Name | Shani T Lampley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568723955 PECOS PAC ID: 3476795204 Enrollment ID: I20150728004465 |
| Provider Name | Keri Mclendon Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982084877 PECOS PAC ID: 5193031821 Enrollment ID: I20150826001119 |
| Provider Name | Karen Vines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417392010 PECOS PAC ID: 7517275316 Enrollment ID: I20150928002430 |
| Provider Name | Nicole Speegle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831585843 PECOS PAC ID: 9537477294 Enrollment ID: I20150929001697 |
| Provider Name | Gregory F Mayberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215285754 PECOS PAC ID: 3274784442 Enrollment ID: I20151007000510 |
| Provider Name | Marie Charlene Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780827071 PECOS PAC ID: 5496911059 Enrollment ID: I20151113001491 |
| Provider Name | Adam B Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770929176 PECOS PAC ID: 7012219322 Enrollment ID: I20160104001584 |
| Provider Name | Michelle R Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700247145 PECOS PAC ID: 4385943786 Enrollment ID: I20160506001445 |
| Provider Name | Whitney Tew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205268810 PECOS PAC ID: 9931339322 Enrollment ID: I20160706001757 |
| Provider Name | Sarah Abroms Kunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932544459 PECOS PAC ID: 2264667930 Enrollment ID: I20160728001271 |
| Provider Name | Jill Christine Arora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493784 PECOS PAC ID: 5496039976 Enrollment ID: I20170228002764 |
| Provider Name | William Samuel Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982143228 PECOS PAC ID: 5395022545 Enrollment ID: I20170426000921 |
| Provider Name | Caitlin B Hutchins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811434707 PECOS PAC ID: 2365710464 Enrollment ID: I20170614000449 |
| Provider Name | Keely Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912305269 PECOS PAC ID: 6800193046 Enrollment ID: I20170922000120 |
| Provider Name | Melissa Threlkeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306364310 PECOS PAC ID: 9830465608 Enrollment ID: I20171023001446 |
| Provider Name | Rodney Dale Huffstutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104903194 PECOS PAC ID: 6406834852 Enrollment ID: I20180713002708 |
| Provider Name | Caroline Howard Studdard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215319058 PECOS PAC ID: 9234447749 Enrollment ID: I20180913002598 |
| Provider Name | Jordan B Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043757784 PECOS PAC ID: 7214288505 Enrollment ID: I20180926000540 |
| Provider Name | Emily Christian Craner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992123749 PECOS PAC ID: 2365795432 Enrollment ID: I20181019002138 |
| Provider Name | Candace Blount Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445139 PECOS PAC ID: 7719230630 Enrollment ID: I20181023002228 |
| Provider Name | Sara Lejeune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356816532 PECOS PAC ID: 9032463401 Enrollment ID: I20181121001923 |
| Provider Name | Emily Entrekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528534922 PECOS PAC ID: 8921344672 Enrollment ID: I20190116003484 |
| Provider Name | Cameron Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174080402 PECOS PAC ID: 4688916513 Enrollment ID: I20190425000510 |
| Provider Name | Jordan Harper Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366806796 PECOS PAC ID: 9739475898 Enrollment ID: I20190522001891 |
| Provider Name | Lauren Searcy Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154889517 PECOS PAC ID: 4082957550 Enrollment ID: I20190524000831 |
| Provider Name | Caroline Townson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013313873 PECOS PAC ID: 3072837335 Enrollment ID: I20190617000440 |
| Provider Name | Natalya Belotserkovskaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164833323 PECOS PAC ID: 3274750450 Enrollment ID: I20190815000639 |
| Provider Name | Drew Jeffrey Gunnells |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1285078568 PECOS PAC ID: 9234379975 Enrollment ID: I20190916001630 |
| Provider Name | Tijil Agarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104231257 PECOS PAC ID: 1052604964 Enrollment ID: I20191002001305 |
| Provider Name | Brandon Paul Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194189357 PECOS PAC ID: 8527352491 Enrollment ID: I20191112002404 |
| Provider Name | Christina Ordinario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710529920 PECOS PAC ID: 2668805466 Enrollment ID: I20191210000389 |
| Provider Name | Catherine Barton Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013570068 PECOS PAC ID: 4284068487 Enrollment ID: I20191220002223 |
| Provider Name | James Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235691189 PECOS PAC ID: 5092140897 Enrollment ID: I20200125000195 |
| Provider Name | Ashley Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033629738 PECOS PAC ID: 7214359694 Enrollment ID: I20200612002625 |
| Provider Name | Miles Cobia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467830117 PECOS PAC ID: 4789995903 Enrollment ID: I20200626002165 |
| Provider Name | Rachel Ethridge Sabo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255690616 PECOS PAC ID: 9638313059 Enrollment ID: I20200813000903 |
| Provider Name | Scott Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093248627 PECOS PAC ID: 1052698644 Enrollment ID: I20210527000629 |
| Provider Name | Nolan Penn Bauldree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427642594 PECOS PAC ID: 1052710431 Enrollment ID: I20210604002461 |
| Provider Name | Thomas J Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982191136 PECOS PAC ID: 4284035601 Enrollment ID: I20210623001221 |
| Provider Name | Erin Nicole Showalter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417484676 PECOS PAC ID: 6800290255 Enrollment ID: I20210806000121 |
| Provider Name | Katherine Jean Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174111314 PECOS PAC ID: 5092119925 Enrollment ID: I20210813001777 |
| Provider Name | Stephen Charles Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700366408 PECOS PAC ID: 3779989298 Enrollment ID: I20210909000715 |
| Provider Name | Alex Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710470174 PECOS PAC ID: 9335486067 Enrollment ID: I20210914002039 |
| Provider Name | Amanda Victoria Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679065577 PECOS PAC ID: 8325396286 Enrollment ID: I20211110003209 |
| Provider Name | Jessica Miller Handlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972149128 PECOS PAC ID: 3577955715 Enrollment ID: I20220119002525 |
| Provider Name | John Collin Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669127114 PECOS PAC ID: 4981091253 Enrollment ID: I20220505001100 |
| Provider Name | Benjamin Andrew Rauh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467947481 PECOS PAC ID: 2961881438 Enrollment ID: I20220614002268 |
| Provider Name | Henry Coker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159893 PECOS PAC ID: 0941553697 Enrollment ID: I20220721001293 |
| Provider Name | Neil Tindell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215424486 PECOS PAC ID: 7911331855 Enrollment ID: I20220725000693 |
| Provider Name | Mark Whitworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902369523 PECOS PAC ID: 3476938424 Enrollment ID: I20220912003890 |
| Provider Name | Mary Chapman May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255066452 PECOS PAC ID: 7618352352 Enrollment ID: I20220916001778 |
| Provider Name | Erin Nicole Rosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790318160 PECOS PAC ID: 6204207129 Enrollment ID: I20230131003157 |
| Provider Name | Jacalyn Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154588986 PECOS PAC ID: 4284052606 Enrollment ID: I20230601002072 |
| Provider Name | Tatiana Maria Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376166074 PECOS PAC ID: 5092120188 Enrollment ID: I20230913002839 |
| Provider Name | Bhageeradh H Mulpur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128387 PECOS PAC ID: 2567731896 Enrollment ID: I20240723001185 |
| Provider Name | Austin Gauldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174103303 PECOS PAC ID: 4183027352 Enrollment ID: I20241203001513 |
| Provider Name | Jordan Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811619000 PECOS PAC ID: 4587191838 Enrollment ID: I20241226002754 |
| Provider Name | Atia Aroonsakulwongse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679387351 PECOS PAC ID: 0840713137 Enrollment ID: I20250327001414 |
| Provider Name | Courtney M Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275285488 PECOS PAC ID: 3577088848 Enrollment ID: I20250418001615 |
| Provider Name | Mary Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235872482 PECOS PAC ID: 2567838741 Enrollment ID: I20250729000989 |
| Provider Name | Mariam Atef Kamel Lobbous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710621040 PECOS PAC ID: 7214318617 Enrollment ID: I20250730001479 |
| Provider Name | Tiffany Fuqua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356230783 PECOS PAC ID: 8820583867 Enrollment ID: I20251217003935 |
| Provider Name | Lindsey Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528794062 PECOS PAC ID: 9931576790 Enrollment ID: I20260114003365 |
| Provider Name | Kayla Leberte Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366297657 PECOS PAC ID: 4082189279 Enrollment ID: I20260406001669 |
Lifestyle Management of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 |
Protective Life Bhs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 |
Priority Care Systems, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Corporate Dr Ste 110, Birmingham, AL 35242 Phone: 833-252-4936 |
Inverness Family Medicine LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 |
Hoover Alt MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 |
Birmingham Clinics, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 |