| Altapointe Health Systems, Inc. | |
|
2400 Gordon Smith Dr Mobile AL 36617-2319 | |
| (251) 473-4423 | |
| (251) 662-7297 |
| Full Name | Altapointe Health Systems, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 Gordon Smith Dr, Mobile, Alabama |
| Authorized Official Name and Position | Jerry Tuerk Schlesinger (CEO) |
| Authorized Official Contact | 2514505901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altapointe Health Systems, Inc. 5750a Southland Dr Mobile AL 36693-3316 Ph: (251) 450-5901 | Altapointe Health Systems, Inc. 2400 Gordon Smith Dr Mobile AL 36617-2319 Ph: (251) 473-4423 |
| NPI Number | 1518095413 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 1052224052 |
|---|---|
| Medicare Enrollment ID | O20040206000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518095413 | NPI | - | NPPES |
| 330000016 | Medicaid | AL | |
| 591700047 | Medicaid | AL | |
| 330034016 | Medicaid | AL | |
| 590000016 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Raymond N Broughton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790734788 PECOS PAC ID: 4486554797 Enrollment ID: I20040112000452 |
| Provider Name | Sandra King Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982606976 PECOS PAC ID: 8022918762 Enrollment ID: I20040124000289 |
| Provider Name | Carl H Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801089149 PECOS PAC ID: 0749255206 Enrollment ID: I20040827001063 |
| Provider Name | Marianne Saitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164424172 PECOS PAC ID: 1254378045 Enrollment ID: I20050413000585 |
| Provider Name | William J Billett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306848254 PECOS PAC ID: 9638111487 Enrollment ID: I20050523000917 |
| Provider Name | Robert A Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184663296 PECOS PAC ID: 8325054372 Enrollment ID: I20060228000382 |
| Provider Name | Dolores Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003852609 PECOS PAC ID: 0648370692 Enrollment ID: I20070705000456 |
| Provider Name | Vimla Praveni Devi Bhagwandin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467632521 PECOS PAC ID: 5698857746 Enrollment ID: I20080128000611 |
| Provider Name | Tina I Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396886867 PECOS PAC ID: 1759466568 Enrollment ID: I20080304000442 |
| Provider Name | Jason L Engeriser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386735280 PECOS PAC ID: 2062516040 Enrollment ID: I20090921000335 |
| Provider Name | Ehab A Molokhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295780161 PECOS PAC ID: 5092844431 Enrollment ID: I20100524000878 |
| Provider Name | John Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023285228 PECOS PAC ID: 3577758002 Enrollment ID: I20101110000795 |
| Provider Name | Christopher Murphree |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730195470 PECOS PAC ID: 5991853194 Enrollment ID: I20110324000809 |
| Provider Name | Amit Pant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285880799 PECOS PAC ID: 2264601897 Enrollment ID: I20110816000239 |
| Provider Name | David W Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912172826 PECOS PAC ID: 0749451235 Enrollment ID: I20110913000603 |
| Provider Name | William Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093822918 PECOS PAC ID: 7012944929 Enrollment ID: I20111011000574 |
| Provider Name | Miriam Maite Sevilla Saez-benito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003134917 PECOS PAC ID: 0345405486 Enrollment ID: I20120622000472 |
| Provider Name | Anne G Heselton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376745265 PECOS PAC ID: 1850556853 Enrollment ID: I20120625000548 |
| Provider Name | Hari K Sivanandam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356571400 PECOS PAC ID: 4789834250 Enrollment ID: I20121017000852 |
| Provider Name | Edgar W Finn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851479471 PECOS PAC ID: 6406007764 Enrollment ID: I20121114000087 |
| Provider Name | Jeremy C Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205128451 PECOS PAC ID: 2163676651 Enrollment ID: I20130211000117 |
| Provider Name | Praveen Narahari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053549832 PECOS PAC ID: 6002060498 Enrollment ID: I20130213000004 |
| Provider Name | Mary E Cohen Colson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831145127 PECOS PAC ID: 3971567314 Enrollment ID: I20130213000597 |
| Provider Name | Jeanette Mortara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457625568 PECOS PAC ID: 6507007135 Enrollment ID: I20130724000783 |
| Provider Name | Traci Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649393109 PECOS PAC ID: 8224266937 Enrollment ID: I20131231001758 |
| Provider Name | Julie N Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124312632 PECOS PAC ID: 3476793506 Enrollment ID: I20140402001042 |
| Provider Name | Tiffany R Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932598299 PECOS PAC ID: 6608194436 Enrollment ID: I20150407002336 |
| Provider Name | Candace L Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841359221 PECOS PAC ID: 6800806225 Enrollment ID: I20150707000967 |
| Provider Name | Tanya E Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661329 PECOS PAC ID: 9830492826 Enrollment ID: I20160126000603 |
| Provider Name | Christina M Talerico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336408053 PECOS PAC ID: 0547564288 Enrollment ID: I20160201001818 |
| Provider Name | Richard S Sinclair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396184040 PECOS PAC ID: 1355645136 Enrollment ID: I20160216000290 |
| Provider Name | William Timothy Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502238 PECOS PAC ID: 9234436296 Enrollment ID: I20160318001303 |
| Provider Name | Patricia M Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861603128 PECOS PAC ID: 2961709779 Enrollment ID: I20160322002042 |
| Provider Name | Jeffrey W Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423009 PECOS PAC ID: 3971888272 Enrollment ID: I20170329001529 |
| Provider Name | Maria A Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578805719 PECOS PAC ID: 2860779014 Enrollment ID: I20170426000787 |
| Provider Name | Keri W Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215300736 PECOS PAC ID: 8729344205 Enrollment ID: I20171116001302 |
| Provider Name | Rebecca Susan Sollie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407241136 PECOS PAC ID: 7719283068 Enrollment ID: I20171128000600 |
| Provider Name | Lori Anne Lowthert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558562058 PECOS PAC ID: 2961553847 Enrollment ID: I20171207001827 |
| Provider Name | Mary Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194277244 PECOS PAC ID: 1254699846 Enrollment ID: I20180103003359 |
| Provider Name | Alicia Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134630205 PECOS PAC ID: 7113281528 Enrollment ID: I20180511001818 |
| Provider Name | Ashlen Pettry Aggen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033504428 PECOS PAC ID: 3678870631 Enrollment ID: I20180813003347 |
| Provider Name | Emily Glass Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780177030 PECOS PAC ID: 3577814755 Enrollment ID: I20180927000879 |
| Provider Name | Laurie Anne Crespo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386946457 PECOS PAC ID: 1254511470 Enrollment ID: I20181031001976 |
| Provider Name | Brian Gavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871987875 PECOS PAC ID: 7719263912 Enrollment ID: I20181210003506 |
| Provider Name | Patricia Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750856324 PECOS PAC ID: 7113263989 Enrollment ID: I20190115003449 |
| Provider Name | Latricia Deloris Hickenbottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700343811 PECOS PAC ID: 7719229731 Enrollment ID: I20190423001756 |
| Provider Name | Alexis C Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764157 PECOS PAC ID: 1850605023 Enrollment ID: I20190501003482 |
| Provider Name | Serena La Nimityongskul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831584168 PECOS PAC ID: 4284998097 Enrollment ID: I20190619002693 |
| Provider Name | James Robert Lepage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083146922 PECOS PAC ID: 5395003388 Enrollment ID: I20190805001259 |
| Provider Name | Kiwana Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831656701 PECOS PAC ID: 9739422684 Enrollment ID: I20191021003177 |
| Provider Name | Kina C Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941397 PECOS PAC ID: 7810320918 Enrollment ID: I20191203002874 |
| Provider Name | Bradley Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992237721 PECOS PAC ID: 3779838297 Enrollment ID: I20200226001564 |
| Provider Name | Shanthi Gatla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033595434 PECOS PAC ID: 6507136421 Enrollment ID: I20200325001904 |
| Provider Name | Lucas Scott Boone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134651102 PECOS PAC ID: 3173881364 Enrollment ID: I20200326002478 |
| Provider Name | Beverly J Ales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174156103 PECOS PAC ID: 1759710361 Enrollment ID: I20200402002035 |
| Provider Name | Maridith Hollis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730612086 PECOS PAC ID: 9234484213 Enrollment ID: I20200422003076 |
| Provider Name | Heather Harcourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508357781 PECOS PAC ID: 1456604230 Enrollment ID: I20200423003501 |
| Provider Name | Lolita Cecelia Boykin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316585078 PECOS PAC ID: 6103247903 Enrollment ID: I20200603001723 |
| Provider Name | Jenna Morgan Pfleeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791130 PECOS PAC ID: 0345504981 Enrollment ID: I20200625002554 |
| Provider Name | Taiye Oluwaseun Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750910378 PECOS PAC ID: 9739504473 Enrollment ID: I20200729000773 |
| Provider Name | Margaret D. Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124644802 PECOS PAC ID: 4880019868 Enrollment ID: I20200807001725 |
| Provider Name | Adrianne Lona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124275268 PECOS PAC ID: 1052577491 Enrollment ID: I20200817001242 |
| Provider Name | Rajesh Gujjula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861629966 PECOS PAC ID: 9537314455 Enrollment ID: I20201028002472 |
| Provider Name | Ashley Thrash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193389 PECOS PAC ID: 4183035983 Enrollment ID: I20201130003073 |
| Provider Name | Jonathan H Todd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003347691 PECOS PAC ID: 0840603213 Enrollment ID: I20201231000997 |
| Provider Name | Whitney Faunce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841883642 PECOS PAC ID: 0143636480 Enrollment ID: I20210310002251 |
| Provider Name | Peter C Rippey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477715712 PECOS PAC ID: 6204722010 Enrollment ID: I20210318002641 |
| Provider Name | Jessica Grimes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518323823 PECOS PAC ID: 1153738497 Enrollment ID: I20210401001876 |
| Provider Name | Michael Loudon Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083119473 PECOS PAC ID: 3577808716 Enrollment ID: I20210428002359 |
| Provider Name | Christy Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982104881 PECOS PAC ID: 0042611725 Enrollment ID: I20210701002392 |
| Provider Name | Ann I Payne-johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174652275 PECOS PAC ID: 9133203532 Enrollment ID: I20210714000642 |
| Provider Name | Alicia Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578978052 PECOS PAC ID: 8426362377 Enrollment ID: I20210813000477 |
| Provider Name | Dreama Schofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598438756 PECOS PAC ID: 8820492762 Enrollment ID: I20210813002190 |
| Provider Name | Keri Lee Lemmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114004561 PECOS PAC ID: 1052376175 Enrollment ID: I20211020000345 |
| Provider Name | Wanda Lynn Whiddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480840 PECOS PAC ID: 0840680526 Enrollment ID: I20211213001089 |
| Provider Name | Julia Cheryl Tritch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263816 PECOS PAC ID: 5890186514 Enrollment ID: I20220106001008 |
| Provider Name | Robert Mcculloch Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754096 PECOS PAC ID: 8224421664 Enrollment ID: I20220208002151 |
| Provider Name | Britni Danielle Rabbeitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144977984 PECOS PAC ID: 3173918919 Enrollment ID: I20220315000910 |
| Provider Name | Chandler Scott Denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521418 PECOS PAC ID: 1254726920 Enrollment ID: I20220315002287 |
| Provider Name | Utopia Conger Cassady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649925983 PECOS PAC ID: 9830584036 Enrollment ID: I20220325001615 |
| Provider Name | Logan B Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710448972 PECOS PAC ID: 8729310677 Enrollment ID: I20220405002028 |
| Provider Name | Alexandru Ghilezan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346701604 PECOS PAC ID: 2668806654 Enrollment ID: I20220406001660 |
| Provider Name | Peter Yong Joon Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376004473 PECOS PAC ID: 7810320744 Enrollment ID: I20220518000830 |
| Provider Name | Zachary Orme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548880818 PECOS PAC ID: 0446630842 Enrollment ID: I20220701000544 |
| Provider Name | William H Tillman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609397686 PECOS PAC ID: 4880090125 Enrollment ID: I20220718001408 |
| Provider Name | Matthew James Suggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326543596 PECOS PAC ID: 1658617154 Enrollment ID: I20220725003566 |
| Provider Name | Conor Cronin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003444720 PECOS PAC ID: 9830517598 Enrollment ID: I20220803003192 |
| Provider Name | Clifford Davis Gaddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457810301 PECOS PAC ID: 0648602664 Enrollment ID: I20220809000000 |
| Provider Name | Madeline Hearn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831727809 PECOS PAC ID: 4385062363 Enrollment ID: I20220809000580 |
| Provider Name | Kevin Putinta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093249245 PECOS PAC ID: 4385917038 Enrollment ID: I20220811002568 |
| Provider Name | Sarah E Mcmullin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710332218 PECOS PAC ID: 4587902267 Enrollment ID: I20220817002500 |
| Provider Name | William Caleb Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295223873 PECOS PAC ID: 6305270794 Enrollment ID: I20220825000927 |
| Provider Name | Jacob B Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290557 PECOS PAC ID: 7214312917 Enrollment ID: I20220916000024 |
| Provider Name | Robert Detrinis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891734455 PECOS PAC ID: 1254352446 Enrollment ID: I20221015000020 |
| Provider Name | Mazen B Omar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114488467 PECOS PAC ID: 1456783737 Enrollment ID: I20221025003069 |
| Provider Name | Tyler Brooks Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255787636 PECOS PAC ID: 8426344029 Enrollment ID: I20221103000665 |
| Provider Name | Elizabeth Danyell Shirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069843 PECOS PAC ID: 2769859768 Enrollment ID: I20221103002886 |
| Provider Name | Dylan E Caggiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851873079 PECOS PAC ID: 6901238922 Enrollment ID: I20221103002951 |
| Provider Name | Kimberly Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890698 PECOS PAC ID: 4284021403 Enrollment ID: I20230109002162 |
| Provider Name | Haley Elizabeth Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300590 PECOS PAC ID: 3971974874 Enrollment ID: I20230131001780 |
| Provider Name | Richelle Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488350 PECOS PAC ID: 2062845597 Enrollment ID: I20230224000106 |
| Provider Name | Amy Nicole Hudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760062194 PECOS PAC ID: 5799183661 Enrollment ID: I20230411000984 |
| Provider Name | Amber Michelle Mccollough Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508576554 PECOS PAC ID: 0840655064 Enrollment ID: I20230421002660 |
| Provider Name | Samantha N Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508443102 PECOS PAC ID: 1254737356 Enrollment ID: I20230503000247 |
| Provider Name | Crystal Hope Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659069102 PECOS PAC ID: 8921464223 Enrollment ID: I20230511000988 |
| Provider Name | Lee Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982634390 PECOS PAC ID: 9931165651 Enrollment ID: I20230522001594 |
| Provider Name | Jason Matthew Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255588166 PECOS PAC ID: 3779941273 Enrollment ID: I20230615000318 |
| Provider Name | Tara May Lancour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982391652 PECOS PAC ID: 3173983954 Enrollment ID: I20230712003872 |
| Provider Name | Jeffrey Michael Tisch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194220384 PECOS PAC ID: 9537412333 Enrollment ID: I20230829002317 |
| Provider Name | Taylor B Ousley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649899006 PECOS PAC ID: 7214368067 Enrollment ID: I20231023003245 |
| Provider Name | Rachel Helen Alison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265095087 PECOS PAC ID: 8123431442 Enrollment ID: I20231108003724 |
| Provider Name | John T Olsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962085233 PECOS PAC ID: 3375918170 Enrollment ID: I20231113000239 |
| Provider Name | Beatriz Garibay Favela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508260589 PECOS PAC ID: 7012298557 Enrollment ID: I20231218003841 |
| Provider Name | Adrian R Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407638836 PECOS PAC ID: 3870944218 Enrollment ID: I20240110000605 |
| Provider Name | Ashley Blount |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073021101 PECOS PAC ID: 5092168518 Enrollment ID: I20240131001953 |
| Provider Name | Michael Wayne Goldman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538358064 PECOS PAC ID: 3476453127 Enrollment ID: I20240207000228 |
| Provider Name | Lauren Elmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659852473 PECOS PAC ID: 7416391552 Enrollment ID: I20240216002783 |
| Provider Name | Ellen Ann Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831689447 PECOS PAC ID: 2769826783 Enrollment ID: I20240219000680 |
| Provider Name | Barbara A. Leigh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093145724 PECOS PAC ID: 7315382553 Enrollment ID: I20240228000811 |
| Provider Name | Andrea Marie Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598069460 PECOS PAC ID: 3779928916 Enrollment ID: I20240228000839 |
| Provider Name | Rhonda K Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871248518 PECOS PAC ID: 5799120879 Enrollment ID: I20240228002663 |
| Provider Name | Renee Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912399130 PECOS PAC ID: 5991140097 Enrollment ID: I20240228003384 |
| Provider Name | Terri Casey Mudge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730255704 PECOS PAC ID: 1153766266 Enrollment ID: I20240228003880 |
| Provider Name | Bettie Rogers Dean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629700679 PECOS PAC ID: 5395180335 Enrollment ID: I20240229000422 |
| Provider Name | Beverly R Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861406951 PECOS PAC ID: 1850736810 Enrollment ID: I20240229001041 |
| Provider Name | Brandolyn Dortch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003695966 PECOS PAC ID: 8426493412 Enrollment ID: I20240229002041 |
| Provider Name | Jennifer Strickland Maxey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508230764 PECOS PAC ID: 3173968179 Enrollment ID: I20240229002434 |
| Provider Name | Norman Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871106385 PECOS PAC ID: 3072958081 Enrollment ID: I20240229002895 |
| Provider Name | Abigail Stockman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376000729 PECOS PAC ID: 8325483290 Enrollment ID: I20240301000647 |
| Provider Name | Shanevia Robinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831564061 PECOS PAC ID: 6103261003 Enrollment ID: I20240301001631 |
| Provider Name | Emily Carol Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316419955 PECOS PAC ID: 3173968997 Enrollment ID: I20240301002624 |
| Provider Name | Anne S. Chipman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417104704 PECOS PAC ID: 3779928429 Enrollment ID: I20240304002741 |
| Provider Name | Lorian Kriner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881062255 PECOS PAC ID: 6709221302 Enrollment ID: I20240305000497 |
| Provider Name | Ashley Herring Jordan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891496113 PECOS PAC ID: 0446695068 Enrollment ID: I20240305001258 |
| Provider Name | Jennifer Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902677511 PECOS PAC ID: 7416393830 Enrollment ID: I20240307003587 |
| Provider Name | Leigh Ann Macon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942424890 PECOS PAC ID: 1557707809 Enrollment ID: I20240309000554 |
| Provider Name | Debra K Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790491934 PECOS PAC ID: 2567808785 Enrollment ID: I20240311002380 |
| Provider Name | Lucas Allen Hester |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902580525 PECOS PAC ID: 1658717632 Enrollment ID: I20240313000444 |
| Provider Name | Mary Rachel Gunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891125571 PECOS PAC ID: 6800233206 Enrollment ID: I20240321000161 |
| Provider Name | Susan Stuart Mcnair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578724589 PECOS PAC ID: 3678910072 Enrollment ID: I20240321000326 |
| Provider Name | Rita Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306911367 PECOS PAC ID: 9638516453 Enrollment ID: I20240328000262 |
| Provider Name | Kiwania Sherrail Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770022063 PECOS PAC ID: 4981041704 Enrollment ID: I20240328000375 |
| Provider Name | Lauren Elizabeth Palmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821611443 PECOS PAC ID: 0547608333 Enrollment ID: I20240328003563 |
| Provider Name | Temperance Rebekah Blalack |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861996589 PECOS PAC ID: 9931547064 Enrollment ID: I20240409000808 |
| Provider Name | Julia Lanaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942954128 PECOS PAC ID: 6901245414 Enrollment ID: I20240417001054 |
| Provider Name | Jeanetta Morgan Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558948547 PECOS PAC ID: 2163828476 Enrollment ID: I20240524001143 |
| Provider Name | Alexandria Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336909027 PECOS PAC ID: 3577005453 Enrollment ID: I20240606002662 |
| Provider Name | Laurel Whitney Havard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275964116 PECOS PAC ID: 5799227286 Enrollment ID: I20240612001771 |
| Provider Name | Amy Leigh Goff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215780424 PECOS PAC ID: 8325581960 Enrollment ID: I20240624001899 |
| Provider Name | Miranda Kolby Crowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003556077 PECOS PAC ID: 7810371366 Enrollment ID: I20240710000467 |
| Provider Name | Gabriella Regina Edington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528689296 PECOS PAC ID: 6709225105 Enrollment ID: I20240710003748 |
| Provider Name | Evan Austin Chavers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720738149 PECOS PAC ID: 7911381686 Enrollment ID: I20240712002846 |
| Provider Name | Kristine April Coburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568842888 PECOS PAC ID: 1850837824 Enrollment ID: I20240725004114 |
| Provider Name | Shyla Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326788597 PECOS PAC ID: 0648654319 Enrollment ID: I20240802001162 |
| Provider Name | Amanda Christine Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710637459 PECOS PAC ID: 8729460142 Enrollment ID: I20240806003428 |
| Provider Name | Lee Ann Cunningham Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649695750 PECOS PAC ID: 7113464223 Enrollment ID: I20240807002574 |
| Provider Name | John Thomas Craver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427899897 PECOS PAC ID: 5193263762 Enrollment ID: I20240814000581 |
| Provider Name | Michelle Elaine Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558198853 PECOS PAC ID: 7214469865 Enrollment ID: I20241021002120 |
| Provider Name | Danielle Turnquest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417417734 PECOS PAC ID: 0042547259 Enrollment ID: I20241023000555 |
| Provider Name | Timberly J Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477131530 PECOS PAC ID: 6901202274 Enrollment ID: I20241115002599 |
| Provider Name | Terrance Walton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841031275 PECOS PAC ID: 4981139425 Enrollment ID: I20241121000991 |
| Provider Name | Stephanie Gidley Wilds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992536908 PECOS PAC ID: 3678008737 Enrollment ID: I20241126002096 |
| Provider Name | Brittany Carol Pederson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265000624 PECOS PAC ID: 6709287436 Enrollment ID: I20241129000045 |
| Provider Name | Rashunda Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285466615 PECOS PAC ID: 0547796856 Enrollment ID: I20241210003939 |
| Provider Name | Lauren Leigh Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568283083 PECOS PAC ID: 1557899804 Enrollment ID: I20250114002083 |
| Provider Name | Sara Bush Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770315103 PECOS PAC ID: 3375073182 Enrollment ID: I20250210001032 |
| Provider Name | Hakeem Lumumba |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1497847222 PECOS PAC ID: 0941720031 Enrollment ID: I20250219002702 |
| Provider Name | Jennifer Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053117366 PECOS PAC ID: 1254852080 Enrollment ID: I20250310000082 |
| Provider Name | Wannetta Fincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215742846 PECOS PAC ID: 8325562572 Enrollment ID: I20250409000575 |
| Provider Name | Kathryn Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255137568 PECOS PAC ID: 3072030741 Enrollment ID: I20250506002275 |
| Provider Name | Dailey Ann Champion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538642400 PECOS PAC ID: 4587183249 Enrollment ID: I20250527000783 |
| Provider Name | Micah Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639841901 PECOS PAC ID: 2062922461 Enrollment ID: I20250605002655 |
| Provider Name | Rachel Leigh Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033914072 PECOS PAC ID: 3274043898 Enrollment ID: I20250611002809 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
University Of South Alabama Health Services Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
University Of South Alabama Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Midtown Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Bel Air Blvd Ste 9, Mobile, AL 36606 Phone: 251-533-3143 Fax: 251-650-1525 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 |