| Alabama Mso LLC | |
|
401 Arnold St Ne Cullman AL 35055-1967 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Alabama Mso LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Arnold St Ne, Cullman, Alabama |
| Authorized Official Name and Position | Samuel Kohn (MANAGER) |
| Authorized Official Contact | 3476316775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Mso LLC 4770 White Plains Rd Bronx NY 10470-1136 | Alabama Mso LLC 401 Arnold St Ne Cullman AL 35055-1967 Ph: (212) 734-6621 |
| NPI Number | 1740073980 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Medicare PECOS PAC ID | 9436665262 |
|---|---|
| Medicare Enrollment ID | O20250718004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740073980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Donald B Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811995731 PECOS PAC ID: 0244144251 Enrollment ID: I20040217000266 |
| Provider Name | Prince C Uzoije |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811923014 PECOS PAC ID: 6204811383 Enrollment ID: I20040622001410 |
| Provider Name | John H Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487634085 PECOS PAC ID: 9133180334 Enrollment ID: I20041021000272 |
| Provider Name | Lee T Wimberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033142054 PECOS PAC ID: 8325098726 Enrollment ID: I20050124000813 |
| Provider Name | Princess Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600946 PECOS PAC ID: 3476569500 Enrollment ID: I20060228000174 |
| Provider Name | Wanda Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033206545 PECOS PAC ID: 3274633292 Enrollment ID: I20070705000194 |
| Provider Name | Cassandra W Frieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740269802 PECOS PAC ID: 8921288424 Enrollment ID: I20110215000550 |
| Provider Name | Nikitris Taylor-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245513183 PECOS PAC ID: 7719151349 Enrollment ID: I20111117000213 |
| Provider Name | Mohannad F Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013141951 PECOS PAC ID: 7911167564 Enrollment ID: I20120320000261 |
| Provider Name | Gregory L Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477873917 PECOS PAC ID: 8527292143 Enrollment ID: I20131014000755 |
| Provider Name | Joe C Beshears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104141761 PECOS PAC ID: 2264688936 Enrollment ID: I20140102000773 |
| Provider Name | Donald Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801938899 PECOS PAC ID: 7517198427 Enrollment ID: I20140318000725 |
| Provider Name | Kimkeisha Lashae Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821473950 PECOS PAC ID: 9830409044 Enrollment ID: I20151030000015 |
| Provider Name | Nicole C Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839203 PECOS PAC ID: 0446534606 Enrollment ID: I20170307001620 |
| Provider Name | Erica Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016436 PECOS PAC ID: 3577837913 Enrollment ID: I20170922001994 |
| Provider Name | Destiny Rashel Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730626631 PECOS PAC ID: 6204106131 Enrollment ID: I20171108003120 |
| Provider Name | Amber Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891296232 PECOS PAC ID: 0547519746 Enrollment ID: I20180821004046 |
| Provider Name | Jami F Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693411 PECOS PAC ID: 7517209422 Enrollment ID: I20190424003135 |
| Provider Name | Reagan R Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417416173 PECOS PAC ID: 5496081374 Enrollment ID: I20190730003820 |
| Provider Name | Hannah Dean Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173720 PECOS PAC ID: 7618305103 Enrollment ID: I20200316002233 |
| Provider Name | Adrianne Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264792 PECOS PAC ID: 3870924335 Enrollment ID: I20200518000215 |
| Provider Name | Brandon James Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229700 PECOS PAC ID: 3072922681 Enrollment ID: I20210512001420 |
| Provider Name | Mary Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689077927 PECOS PAC ID: 5698097764 Enrollment ID: I20211101002209 |
| Provider Name | Branden Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
| Provider Name | Michelle Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700378668 PECOS PAC ID: 9931458627 Enrollment ID: I20220301002058 |
| Provider Name | Chalyn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215685656 PECOS PAC ID: 1153709225 Enrollment ID: I20220601001516 |
| Provider Name | Ashley Gail Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215661939 PECOS PAC ID: 0345622528 Enrollment ID: I20220804001418 |
| Provider Name | Adaline Macall Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131781 PECOS PAC ID: 3971986878 Enrollment ID: I20220810000267 |
| Provider Name | Byron J Hathorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023749231 PECOS PAC ID: 2365819406 Enrollment ID: I20221103000122 |
| Provider Name | Dakota Thiele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760195358 PECOS PAC ID: 2163897000 Enrollment ID: I20230407000565 |
| Provider Name | Jeremy Keon Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629692769 PECOS PAC ID: 4587089867 Enrollment ID: I20231013000391 |
| Provider Name | Olivia Deese Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376204214 PECOS PAC ID: 1456706084 Enrollment ID: I20231017000856 |
| Provider Name | Laura Coffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538991286 PECOS PAC ID: 0446783203 Enrollment ID: I20241031002742 |
| Provider Name | Hima Devarapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003487521 PECOS PAC ID: 3173920246 Enrollment ID: I20241104003410 |
| Provider Name | Shannon Brantley Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300543 PECOS PAC ID: 5294261491 Enrollment ID: I20241211003058 |
| Provider Name | Savanah Blackwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619749199 PECOS PAC ID: 4880122183 Enrollment ID: I20250115000130 |
| Provider Name | Priti Jindal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003850322 PECOS PAC ID: 3375592322 Enrollment ID: I20251104003429 |
Family Medicine of Cullman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Main Ave Sw, Cullman, AL 35055 Phone: 256-642-9821 |
North Alabama Medical Associates, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 2nd Ave Se, Cullman, AL 35055 Phone: 256-739-4144 Fax: 256-739-4595 |
Cullman Regional Hospitalist Services, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-255-0228 Fax: 256-739-8350 |
Cullman Primary Care, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Clark St Ne, Cullman, AL 35055 Phone: 256-734-3202 Fax: 256-734-4668 |
Cullman Heart & Urgent Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 Park View Dr, Cullman, AL 35058 Phone: 256-255-1900 Fax: 256-255-1937 |
Alabama Speciality Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 Cherokee Ave Sw, Cullman, AL 35055 Phone: 256-737-9416 Fax: 256-736-5684 |