| Allegra Healthcare | |
|
1116 Mitt Lary Rd Northport AL 35475-4978 | |
| (205) 556-5634 | |
| (205) 556-5644 |
| Full Name | Allegra Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1116 Mitt Lary Rd, Northport, Alabama |
| Authorized Official Name and Position | Amy Mcmurry Shirley (VICE-PRESIDENT) |
| Authorized Official Contact | 2055565634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegra Healthcare 1116 Mitt Lary Rd Northport AL 35475-4978 Ph: (205) 556-5634 | Allegra Healthcare 1116 Mitt Lary Rd Northport AL 35475-4978 Ph: (205) 556-5634 |
| NPI Number | 1578183190 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 09/25/2020 |
| Medicare PECOS PAC ID | 9133544257 |
|---|---|
| Medicare Enrollment ID | O20200806002832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578183190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Nikki Lee Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922096262 PECOS PAC ID: 5092616250 Enrollment ID: I20040120000364 |
| Provider Name | Bobbie S Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265549851 PECOS PAC ID: 2163514274 Enrollment ID: I20070822000111 |
| Provider Name | Tonya D Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992997415 PECOS PAC ID: 6002995354 Enrollment ID: I20080512000405 |
| Provider Name | Steven Coppock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164635926 PECOS PAC ID: 1951443225 Enrollment ID: I20100125000582 |
| Provider Name | Noah Thomas Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144473661 PECOS PAC ID: 0749312254 Enrollment ID: I20100720000207 |
| Provider Name | Whitney Inglis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477975910 PECOS PAC ID: 4385875889 Enrollment ID: I20140326001691 |
| Provider Name | Lesley A Handjis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780075077 PECOS PAC ID: 4587984877 Enrollment ID: I20150528001211 |
| Provider Name | Tiffany D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902288848 PECOS PAC ID: 1052626595 Enrollment ID: I20150813009553 |
| Provider Name | Amy M Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973125 PECOS PAC ID: 1254620834 Enrollment ID: I20170125001566 |
| Provider Name | Aaron A Jasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132290 PECOS PAC ID: 3173880804 Enrollment ID: I20171205000336 |
| Provider Name | George L Petty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831536333 PECOS PAC ID: 1052544673 Enrollment ID: I20180711001448 |
| Provider Name | Amy Branyon Bigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639321086 PECOS PAC ID: 1456601160 Enrollment ID: I20180829004815 |
| Provider Name | Haley Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610427 PECOS PAC ID: 9638401490 Enrollment ID: I20191028001374 |
| Provider Name | Amanda T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619498698 PECOS PAC ID: 4385061704 Enrollment ID: I20200831003366 |
| Provider Name | Anna Fuller Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366064487 PECOS PAC ID: 6204254527 Enrollment ID: I20200917001626 |
| Provider Name | Tiffanie L Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851827695 PECOS PAC ID: 0244505105 Enrollment ID: I20201013002128 |
| Provider Name | Randi H Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153391 PECOS PAC ID: 3678980810 Enrollment ID: I20210406000266 |
| Provider Name | Lynette Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043302169 PECOS PAC ID: 8820476419 Enrollment ID: I20220610000904 |
| Provider Name | Madison Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174277420 PECOS PAC ID: 3971985151 Enrollment ID: I20220804001465 |
Med 360 Urgent Care Northport Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 Mcfarland Blvd, Northport, AL 35476 Phone: 205-487-4535 Fax: 205-487-8875 | |
Allegra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 Fax: 205-556-5634 | |
Mitt Lary Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4815 Rose Blvd, Northport, AL 35475 Phone: 205-722-0650 Fax: 205-345-5178 | |
Medcenter Demopolis, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3909 Mcfarland Blvd, Northport, AL 35476 Phone: 205-333-1993 Fax: 205-333-0782 | |
Allegra Wellness Of Tuscaloosa Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 | |
Northport Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 Lurleen Wallace Boulevard, Northport, AL 35476 Phone: 205-333-7670 Fax: 205-333-3161 | |
University Medical Center - Northport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6205 Jemison Ln, Northport, AL 35476 Phone: 205-348-6122 Fax: 205-348-6112 |