| Athens Community Care | |
|
22454 Us Highway 72 Ste 310 Athens AL 35613-2678 | |
| (256) 216-9744 | |
| (589) 216-9754 |
| Full Name | Athens Community Care |
|---|---|
| Speciality | Family Medicine |
| Location | 22454 Us Highway 72 Ste 310, Athens, Alabama |
| Authorized Official Name and Position | Sebrina B Holt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2562169648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Community Care 22454 Us Highway 72 Ste 310 Athens AL 35613-2678 Ph: (256) 216-9744 | Athens Community Care 22454 Us Highway 72 Ste 310 Athens AL 35613-2678 Ph: (256) 216-9744 |
| NPI Number | 1063092856 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 9739598897 |
|---|---|
| Medicare Enrollment ID | O20210503001310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063092856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy T Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931509 PECOS PAC ID: 2668696295 Enrollment ID: I20150804005856 |
| Provider Name | Jessica Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320961 PECOS PAC ID: 1052740487 Enrollment ID: I20200406000671 |
| Provider Name | Tammy Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
| Provider Name | Andrea Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013476951 PECOS PAC ID: 6305277922 Enrollment ID: I20220824000991 |
| Provider Name | Garrett Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891254876 PECOS PAC ID: 3476984030 Enrollment ID: I20220909000103 |
| Provider Name | Jeremy Stocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578182358 PECOS PAC ID: 1153751755 Enrollment ID: I20231004001462 |
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