| Columbiana Clinic Llc | |
|
22266 Highway 25 Columbiana AL 35051-8618 | |
| (205) 669-3138 | |
| (205) 669-8718 |
| Full Name | Columbiana Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 22266 Highway 25, Columbiana, Alabama |
| Authorized Official Name and Position | Anthony Ciulla (ADMINISTRATOR) |
| Authorized Official Contact | 2056693138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiana Clinic Llc 22266 Highway 25 Columbiana AL 35051-8618 Ph: (205) 669-3138 | Columbiana Clinic Llc 22266 Highway 25 Columbiana AL 35051-8618 Ph: (205) 669-3138 |
| NPI Number | 1356492904 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 7810967320 |
|---|---|
| Medicare Enrollment ID | O20040730000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356492904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619920451 PECOS PAC ID: 1456321991 Enrollment ID: I20040730000446 |
| Provider Name | Anthony P Ciulla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003868282 PECOS PAC ID: 9931001757 Enrollment ID: I20040730000487 |
| Provider Name | Rhonda L Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386656262 PECOS PAC ID: 7416097886 Enrollment ID: I20091215000508 |
| Provider Name | Megan V Bullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366737884 PECOS PAC ID: 8325271844 Enrollment ID: I20140923001823 |
| Provider Name | Jana Grier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285903112 PECOS PAC ID: 4486813375 Enrollment ID: I20160413002405 |
| Provider Name | Rachel H Davidson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255605606 PECOS PAC ID: 5294995056 Enrollment ID: I20160512000566 |
| Provider Name | Sandra King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811651334 PECOS PAC ID: 2567851595 Enrollment ID: I20211113000235 |
Southern Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Highway 25 E, Columbiana, AL 35051 Phone: 205-669-4884 Fax: 205-669-4883 | |
Ciulla Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22969 Highway 25, Columbiana, AL 35051 Phone: 205-368-5160 |