| Dekalb Urgent Care And Wellness Clinic, Llc | |
|
157 Marshall Road Rainsville AL 35986 | |
| (256) 638-9355 | |
| Not Available |
| Full Name | Dekalb Urgent Care And Wellness Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 157 Marshall Road, Rainsville, Alabama |
| Authorized Official Name and Position | Ashley Thomas (OWNER/NP) |
| Authorized Official Contact | 2566389355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Urgent Care And Wellness Clinic, Llc 190 Creek Dr Rainsville AL 35986-4773 Ph: (256) 638-9355 | Dekalb Urgent Care And Wellness Clinic, Llc 157 Marshall Road Rainsville AL 35986 Ph: (256) 638-9355 |
| NPI Number | 1073150306 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 4880022508 |
|---|---|
| Medicare Enrollment ID | O20200311002666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073150306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashley W Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497027684 PECOS PAC ID: 5395904288 Enrollment ID: I20120313000411 |
| Provider Name | Ashley R Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841424959 PECOS PAC ID: 2860656071 Enrollment ID: I20120619000186 |
| Provider Name | Luiz Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912446337 PECOS PAC ID: 7416224357 Enrollment ID: I20170525001305 |
| Provider Name | Anna Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003353855 PECOS PAC ID: 3577839935 Enrollment ID: I20171030002958 |
| Provider Name | Karen R Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467937250 PECOS PAC ID: 0648609735 Enrollment ID: I20200413001359 |
| Provider Name | Tommy Dewayne Trotman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841848124 PECOS PAC ID: 1153743877 Enrollment ID: I20200624003313 |
| Provider Name | Jeannie Leann Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992381164 PECOS PAC ID: 3870995038 Enrollment ID: I20210709001766 |
| Provider Name | Roxana Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871129569 PECOS PAC ID: 4486044567 Enrollment ID: I20211203001172 |
| Provider Name | Natalie Faith Edmonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386362986 PECOS PAC ID: 9739564048 Enrollment ID: I20220921003961 |
| Provider Name | Autum Clark Coots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386408904 PECOS PAC ID: 0941641237 Enrollment ID: I20240517001238 |
Northeast Alabama Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Mccurdy Ave S, Rainsville, AL 35986 Phone: 256-996-4158 |