| Albertville Primary Care | |
|
2505 Us Hwy 431 Boaz AL 35957 | |
| (256) 894-7795 | |
| (256) 894-6471 |
| Full Name | Albertville Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2505 Us Hwy 431, Boaz, Alabama |
| Authorized Official Name and Position | Gary Alan Calhoun (PHYSICIAN) |
| Authorized Official Contact | 2568947795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albertville Primary Care Po Box 11407 Dept #1557 Birmingham AL 35246-1557 Ph: (256) 894-7795 | Albertville Primary Care 2505 Us Hwy 431 Boaz AL 35957 Ph: (256) 894-7795 |
| NPI Number | 1326116880 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 12/18/2012 |
| Medicare PECOS PAC ID | 2466362546 |
|---|---|
| Medicare Enrollment ID | O20051104000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326116880 | NPI | - | NPPES |
| J340 | Other | AL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15304 (Alabama) | Primary |
| Provider Name | Gary Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083687990 PECOS PAC ID: 2961594536 Enrollment ID: I20070828000155 |
| Provider Name | Cynthia N Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609806066 PECOS PAC ID: 2264593813 Enrollment ID: I20081202000223 |
| Provider Name | Chandler Scott Stisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619437761 PECOS PAC ID: 5092117002 Enrollment ID: I20220621003158 |
| Provider Name | Paul Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356081426 PECOS PAC ID: 9032506787 Enrollment ID: I20251128000460 |
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