| Ch Mssp Services Al Llc | |
|
1 Perimeter Park S Ste 100n Birmingham AL 35243-3248 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Ch Mssp Services Al Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Perimeter Park S Ste 100n, Birmingham, Alabama |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Mssp Services Al Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | Ch Mssp Services Al Llc 1 Perimeter Park S Ste 100n Birmingham AL 35243-3248 Ph: (337) 991-9276 |
| NPI Number | 1063111979 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 07/24/2025 |
| Medicare PECOS PAC ID | 4688039142 |
|---|---|
| Medicare Enrollment ID | O20230505001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063111979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tara Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700979788 PECOS PAC ID: 9032218557 Enrollment ID: I20070625000573 |
| Provider Name | Kimberly Dawn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249869 PECOS PAC ID: 1254559024 Enrollment ID: I20140820002595 |
| Provider Name | Linda Sandra Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649687237 PECOS PAC ID: 1355569641 Enrollment ID: I20140828000914 |
| Provider Name | Matthew Hanserd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942524434 PECOS PAC ID: 0345489563 Enrollment ID: I20150323002283 |
| Provider Name | Amanda N Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041186 PECOS PAC ID: 5597061408 Enrollment ID: I20160302001710 |
| Provider Name | Shandellyn Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780823195 PECOS PAC ID: 4385930205 Enrollment ID: I20160901000493 |
| Provider Name | Rachel Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194235168 PECOS PAC ID: 1759637390 Enrollment ID: I20180711003724 |
| Provider Name | Michael Shane Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417446832 PECOS PAC ID: 1850642489 Enrollment ID: I20180920003037 |
| Provider Name | Clelata N. Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290991 PECOS PAC ID: 5799020046 Enrollment ID: I20181214002179 |
| Provider Name | Heather Culligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054389 PECOS PAC ID: 1951643626 Enrollment ID: I20190429001762 |
| Provider Name | Terriany Christina Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295253 PECOS PAC ID: 1951643675 Enrollment ID: I20190430000547 |
| Provider Name | Michael C Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20190701002149 |
| Provider Name | Robert L Haynie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790345254 PECOS PAC ID: 6204166010 Enrollment ID: I20190920002156 |
| Provider Name | Jessie Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821644378 PECOS PAC ID: 4385975747 Enrollment ID: I20191016000849 |
| Provider Name | Arthur M. Estoque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952400 PECOS PAC ID: 0042643264 Enrollment ID: I20191202002343 |
| Provider Name | Patty A. Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558962845 PECOS PAC ID: 5395156236 Enrollment ID: I20201124002456 |
| Provider Name | Sheri Lynn Tims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457813289 PECOS PAC ID: 0143637348 Enrollment ID: I20210407000007 |
| Provider Name | Zachary Tyler Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376162099 PECOS PAC ID: 9537567268 Enrollment ID: I20211012000466 |
| Provider Name | Abby Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922644178 PECOS PAC ID: 9931597325 Enrollment ID: I20211104001811 |
| Provider Name | Gurbans S Deol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144664376 PECOS PAC ID: 7810285095 Enrollment ID: I20211210001087 |
| Provider Name | Joni Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851023543 PECOS PAC ID: 0840662797 Enrollment ID: I20230202001879 |
| Provider Name | Krista Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20230801001899 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20230822002539 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20231116000543 |
| Provider Name | Nidra Wilson Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982473997 PECOS PAC ID: 1153773866 Enrollment ID: I20240118001927 |
| Provider Name | Alicia D Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598416893 PECOS PAC ID: 8729426580 Enrollment ID: I20240329002104 |
| Provider Name | De'ja Danielle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316797632 PECOS PAC ID: 2769821495 Enrollment ID: I20240415001981 |
| Provider Name | Kristin Shirlanne Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679313662 PECOS PAC ID: 7214479617 Enrollment ID: I20240612002625 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20241009001719 |
| Provider Name | Victoria Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396478830 PECOS PAC ID: 2466834023 Enrollment ID: I20241023003835 |
| Provider Name | Leslie Dawn Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20250112000018 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20250307000968 |
| Provider Name | Leah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20250324000439 |
| Provider Name | Coreen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20250325001733 |
Lifestyle Management Of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 | |
Protective Life Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 | |
Priority Care Systems, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Corporate Dr Ste 110, Birmingham, AL 35242 Phone: 833-252-4936 | |
Inverness Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 | |
Alt Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 | |
Birmingham Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 | |
Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 |