| Archwell Health Professional Services Of Alabama, Llc | |
|
165 Bessemer Super Hwy Midfield AL 35228-2101 | |
| (888) 987-1151 | |
| Not Available |
| Full Name | Archwell Health Professional Services Of Alabama, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 165 Bessemer Super Hwy, Midfield, Alabama |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6154190947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Professional Services Of Alabama, Llc 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () - | Archwell Health Professional Services Of Alabama, Llc 165 Bessemer Super Hwy Midfield AL 35228-2101 Ph: (888) 987-1151 |
| NPI Number | 1033792502 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 1254735277 |
|---|---|
| Medicare Enrollment ID | O20210812000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033792502 | NPI | - | NPPES |
| Provider Name | Max R Shiver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184623241 PECOS PAC ID: 7315845146 Enrollment ID: I20040708000767 |
| Provider Name | Hernando D Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265604227 PECOS PAC ID: 7719057025 Enrollment ID: I20080529000324 |
| Provider Name | Benjamin A Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629228887 PECOS PAC ID: 7810167293 Enrollment ID: I20110822000258 |
| Provider Name | Latoya D Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417124413 PECOS PAC ID: 6709050446 Enrollment ID: I20111115000840 |
| Provider Name | Erin M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932364635 PECOS PAC ID: 6406016310 Enrollment ID: I20120330000495 |
| Provider Name | Lashelle F Barmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902177611 PECOS PAC ID: 5799947891 Enrollment ID: I20120508000109 |
| Provider Name | Devin Scott Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934467 PECOS PAC ID: 5395025290 Enrollment ID: I20161212001563 |
| Provider Name | Heather Chante Hardy-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417444381 PECOS PAC ID: 9739439555 Enrollment ID: I20180829000239 |
| Provider Name | Britta E. Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093284754 PECOS PAC ID: 8022440353 Enrollment ID: I20191107000739 |
| Provider Name | Ashley V Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245813955 PECOS PAC ID: 3678976354 Enrollment ID: I20210720000819 |
| Provider Name | Donald Joseph Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134229412 PECOS PAC ID: 4486648664 Enrollment ID: I20211216000601 |
| Provider Name | Havon Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972617744 PECOS PAC ID: 9032278692 Enrollment ID: I20220214000931 |
| Provider Name | Naga Pannala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20220222001049 |
| Provider Name | Tonisha Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306474473 PECOS PAC ID: 7012336472 Enrollment ID: I20220315001798 |
| Provider Name | Michael Jordan Lipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427016021 PECOS PAC ID: 3173678323 Enrollment ID: I20220317001095 |
| Provider Name | Emily C Keeton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851886170 PECOS PAC ID: 7416201272 Enrollment ID: I20220317002511 |
| Provider Name | Jaydev Yashwant Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851559942 PECOS PAC ID: 7315013000 Enrollment ID: I20220428001869 |
| Provider Name | Wilda Law Hameen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715265 PECOS PAC ID: 4688043789 Enrollment ID: I20221213000209 |
| Provider Name | John Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026992 PECOS PAC ID: 2567467855 Enrollment ID: I20230717002952 |
| Provider Name | Charles Thomas Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356961684 PECOS PAC ID: 9931561941 Enrollment ID: I20230808002148 |
| Provider Name | Amanda Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073002317 PECOS PAC ID: 8426444761 Enrollment ID: I20241213001472 |
| Provider Name | Jeffrey Culpepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245222637 PECOS PAC ID: 2567586308 Enrollment ID: I20250512001974 |
Wee Care Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 599 Bessemer Super Hwy, Midfield, AL 35228 Phone: 205-267-4098 Fax: 205-383-2802 |