| Bibb Medical Associates | |
|
208 Pierson Avenue Centreville AL 35042-2946 | |
| (205) 926-4694 | |
| (205) 926-3248 |
| Full Name | Bibb Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Pierson Avenue, Centreville, Alabama |
| Authorized Official Name and Position | Joseph M Marchant (CEO) |
| Authorized Official Contact | 2059264881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bibb Medical Associates 208 Pierson Avenue Centreville AL 35042-2946 Ph: (205) 926-4694 | Bibb Medical Associates 208 Pierson Avenue Centreville AL 35042-2946 Ph: (205) 926-4694 |
| NPI Number | 1972532299 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 7113822883 |
|---|---|
| Medicare Enrollment ID | O20031204001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972532299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| Provider Name | Lata R Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856905 PECOS PAC ID: 8729983481 Enrollment ID: I20031204001141 |
| Provider Name | Kandace C. Shoults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841383585 PECOS PAC ID: 8628977535 Enrollment ID: I20040112000304 |
| Provider Name | John B Waits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962422337 PECOS PAC ID: 3375513500 Enrollment ID: I20040727000696 |
| Provider Name | Connie W Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093815722 PECOS PAC ID: 8426015462 Enrollment ID: I20041211000193 |
| Provider Name | Johnstone P Hollis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619986924 PECOS PAC ID: 9234189978 Enrollment ID: I20050131000160 |
| Provider Name | Karen E Ballard Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699869321 PECOS PAC ID: 2264482645 Enrollment ID: I20050419001386 |
| Provider Name | George E Hipp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245411289 PECOS PAC ID: 3476629742 Enrollment ID: I20080910000438 |
| Provider Name | Robin Birchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104919760 PECOS PAC ID: 9032255260 Enrollment ID: I20091001000404 |
| Provider Name | Lacy M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780821959 PECOS PAC ID: 3577732742 Enrollment ID: I20110803000799 |
| Provider Name | John Sansbury Meigs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407942733 PECOS PAC ID: 1759557606 Enrollment ID: I20111227000725 |
| Provider Name | Gregory Kennedy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689622185 PECOS PAC ID: 6608870514 Enrollment ID: I20160314002186 |
| Provider Name | Jamie Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033592563 PECOS PAC ID: 8921382946 Enrollment ID: I20170920000781 |
| Provider Name | Laura a Lishman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013390665 PECOS PAC ID: 7810275153 Enrollment ID: I20170920002224 |
| Provider Name | Karlee J Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356884951 PECOS PAC ID: 0749546422 Enrollment ID: I20171113003312 |
| Provider Name | Andrew Posey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528353992 PECOS PAC ID: 3476701194 Enrollment ID: I20181022001575 |
| Provider Name | Drew Jeffrey Gunnells |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1285078568 PECOS PAC ID: 9234379975 Enrollment ID: I20190916001630 |
| Provider Name | Eugene R. Aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952663122 PECOS PAC ID: 6800041104 Enrollment ID: I20200803001912 |
| Provider Name | Brenda Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356771166 PECOS PAC ID: 2961813696 Enrollment ID: I20201201001229 |
| Provider Name | Robert I Matroni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992364186 PECOS PAC ID: 3476983156 Enrollment ID: I20220322001966 |
| Provider Name | Jerica Lashay Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467072926 PECOS PAC ID: 5496178147 Enrollment ID: I20230810000266 |
| Provider Name | Carrie Elana Brackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275113896 PECOS PAC ID: 6103228960 Enrollment ID: I20240220000283 |
| Provider Name | Jacqueline Dawn Fochtmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699433433 PECOS PAC ID: 1052859113 Enrollment ID: I20240820003376 |
| Provider Name | Bhuwan Giri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811491053 PECOS PAC ID: 6800257908 Enrollment ID: I20241218000150 |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 294 Pierson Avenue, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 |
Cmc Pharmacy - Centreville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 |
Cahaba Medical Care, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Hospital Dr, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Hospital Dr, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 |
Cahaba Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Walnut St, Centreville, AL 35042 Phone: 205-926-2992 |