| Christ Health Center Inc | |
|
5720 1st Ave S Birmingham AL 35212-2522 | |
| (205) 380-9455 | |
| (205) 380-9459 |
| Full Name | Christ Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5720 1st Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Robert R Record (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2053809455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Health Center Inc 5720 1st Ave S Birmingham AL 35212-2522 Ph: (205) 380-9455 | Christ Health Center Inc 5720 1st Ave S Birmingham AL 35212-2522 Ph: (205) 380-9455 |
| NPI Number | 1821234246 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9931106986 |
|---|---|
| Medicare Enrollment ID | O20061103000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821234246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Robert R Record |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134177884 PECOS PAC ID: 3274565478 Enrollment ID: I20050908000858 |
| Provider Name | Gavin L Brunsvold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861447815 PECOS PAC ID: 8224057195 Enrollment ID: I20051121000500 |
| Provider Name | Amelia J Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609100932 PECOS PAC ID: 1850422676 Enrollment ID: I20100623000306 |
| Provider Name | English H Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457368961 PECOS PAC ID: 0244419281 Enrollment ID: I20110124000744 |
| Provider Name | Marion H Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942216817 PECOS PAC ID: 4981883865 Enrollment ID: I20110125000062 |
| Provider Name | Cleon L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285952408 PECOS PAC ID: 0547428211 Enrollment ID: I20120227000509 |
| Provider Name | Sarah L Scheurich-payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265438071 PECOS PAC ID: 0345346201 Enrollment ID: I20121128000332 |
| Provider Name | Cory L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053661413 PECOS PAC ID: 4385898253 Enrollment ID: I20140619002402 |
| Provider Name | Stephanie Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760853303 PECOS PAC ID: 4082923396 Enrollment ID: I20151027000688 |
| Provider Name | Bryauna Schunece Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619397809 PECOS PAC ID: 1254554272 Enrollment ID: I20170525000668 |
| Provider Name | Sara Johnson Buxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312400 PECOS PAC ID: 5395082093 Enrollment ID: I20190201002020 |
| Provider Name | Meghan Pattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568938603 PECOS PAC ID: 2567709298 Enrollment ID: I20190202000206 |
| Provider Name | David M Villanueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056067 PECOS PAC ID: 9032482658 Enrollment ID: I20190821001655 |
| Provider Name | Melissa Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104351816 PECOS PAC ID: 6709114234 Enrollment ID: I20190822000733 |
| Provider Name | Rebecca Lee Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164818456 PECOS PAC ID: 7810270808 Enrollment ID: I20191118000522 |
| Provider Name | Jansen Wuisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477247 PECOS PAC ID: 1557795267 Enrollment ID: I20200103002060 |
| Provider Name | Elissa Handley Tyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780178269 PECOS PAC ID: 2062813439 Enrollment ID: I20210623002986 |
| Provider Name | Anna Victoria Musgraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362912 PECOS PAC ID: 3274800396 Enrollment ID: I20210715003012 |
| Provider Name | Rebecca Ashurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922673797 PECOS PAC ID: 3870970585 Enrollment ID: I20220519000041 |
| Provider Name | Zachary Wayne Baker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871070953 PECOS PAC ID: 1456731652 Enrollment ID: I20220706001500 |
| Provider Name | Russell Byron Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548821689 PECOS PAC ID: 3678954260 Enrollment ID: I20220713002823 |
| Provider Name | Ansley Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205558822 PECOS PAC ID: 1052780400 Enrollment ID: I20221207002029 |
| Provider Name | Kenyal Danya Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295458842 PECOS PAC ID: 2264802099 Enrollment ID: I20230111003210 |
| Provider Name | Kristin Tayler Mazingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326620857 PECOS PAC ID: 9335510171 Enrollment ID: I20230113001995 |
| Provider Name | Ariel R Shelby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962140954 PECOS PAC ID: 6103291711 Enrollment ID: I20230413001357 |
| Provider Name | James J Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871607119 PECOS PAC ID: 4486746419 Enrollment ID: I20230522000595 |
| Provider Name | Tabitha Woods Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902512007 PECOS PAC ID: 9537525274 Enrollment ID: I20230522003117 |
| Provider Name | Nathan Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659528743 PECOS PAC ID: 6305023110 Enrollment ID: I20230706000252 |
| Provider Name | Megan Faye Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144485350 PECOS PAC ID: 4486831419 Enrollment ID: I20230725001532 |
| Provider Name | Daniel Josef Shults |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154944627 PECOS PAC ID: 1658732052 Enrollment ID: I20230802000070 |
| Provider Name | Elizabeth Cochran Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528744273 PECOS PAC ID: 5193175941 Enrollment ID: I20231220002093 |
| Provider Name | Melissa Jane Puntkattalee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033679972 PECOS PAC ID: 7618313230 Enrollment ID: I20240306000644 |
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