| Evernorth Care Providers - Tennessee Pc | |
|
2700 Corporate Dr Ste 200 Birmingham AL 35242-2733 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - Tennessee Pc |
|---|---|
| Speciality | General Practice |
| Location | 2700 Corporate Dr Ste 200, Birmingham, Alabama |
| Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - Tennessee Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Tennessee Pc 2700 Corporate Dr Ste 200 Birmingham AL 35242-2733 Ph: (773) 292-4800 |
| NPI Number | 1356128904 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 7911355532 |
|---|---|
| Medicare Enrollment ID | O20231211001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356128904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Traci Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649393109 PECOS PAC ID: 8224266937 Enrollment ID: I20131231001758 |
| Provider Name | Savannah Ashlee Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164872529 PECOS PAC ID: 8123312121 Enrollment ID: I20160815001732 |
| Provider Name | Cynthia Renee Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720537335 PECOS PAC ID: 4385924778 Enrollment ID: I20161130001621 |
| Provider Name | Denesha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543487 PECOS PAC ID: 3274816525 Enrollment ID: I20170210000648 |
| Provider Name | Toni Antoinette Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760864318 PECOS PAC ID: 7911275599 Enrollment ID: I20170623000126 |
| Provider Name | Charlie Kroelinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538697784 PECOS PAC ID: 6204105810 Enrollment ID: I20170712003404 |
| Provider Name | Kari K O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255887626 PECOS PAC ID: 8123306982 Enrollment ID: I20171011001713 |
| Provider Name | Lakrimbrell Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548782733 PECOS PAC ID: 9032477567 Enrollment ID: I20171211001599 |
| Provider Name | Hannah Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837845 PECOS PAC ID: 8224397120 Enrollment ID: I20180123001516 |
| Provider Name | Courtney Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040941 PECOS PAC ID: 1557697653 Enrollment ID: I20190726002635 |
| Provider Name | Tiffany Monique Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180319 PECOS PAC ID: 6709114499 Enrollment ID: I20190819003236 |
| Provider Name | Wanda Trotman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205472 PECOS PAC ID: 1850621806 Enrollment ID: I20190918001261 |
| Provider Name | Isuan Iriabho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548809239 PECOS PAC ID: 6800227406 Enrollment ID: I20200515000193 |
| Provider Name | Adrianne Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264792 PECOS PAC ID: 3870924335 Enrollment ID: I20200518000215 |
| Provider Name | Angela Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427666569 PECOS PAC ID: 2264844208 Enrollment ID: I20201215002090 |
| Provider Name | Christopher Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356913602 PECOS PAC ID: 6507260106 Enrollment ID: I20210804001125 |
| Provider Name | Tiffanee Rachelle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760070809 PECOS PAC ID: 6406241553 Enrollment ID: I20220328001515 |
| Provider Name | Latoya Moseley Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053081893 PECOS PAC ID: 1951774587 Enrollment ID: I20230302000683 |
| Provider Name | Casey Chauffe Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114538923 PECOS PAC ID: 7214301845 Enrollment ID: I20230322003190 |
| Provider Name | Stevonica J Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043917016 PECOS PAC ID: 4284099474 Enrollment ID: I20230421001602 |
| Provider Name | Herlecia Renay Caldwell-rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649976630 PECOS PAC ID: 8426413691 Enrollment ID: I20230424001817 |
| Provider Name | Eme Unanaowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699394494 PECOS PAC ID: 0143685255 Enrollment ID: I20230425001026 |
| Provider Name | Tonya Vernita Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215638630 PECOS PAC ID: 2264898782 Enrollment ID: I20230525000475 |
| Provider Name | Tiamarie Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811693435 PECOS PAC ID: 3274991195 Enrollment ID: I20230623002700 |
| Provider Name | Lawrence Devereux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457811556 PECOS PAC ID: 3678802402 Enrollment ID: I20230918004261 |
| Provider Name | Allison Dejarnatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659699429 PECOS PAC ID: 9234324815 Enrollment ID: I20231024004128 |
| Provider Name | Norah Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932466372 PECOS PAC ID: 8628220662 Enrollment ID: I20231207000744 |
| Provider Name | Shannon Alsop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003043803 PECOS PAC ID: 7517121742 Enrollment ID: I20231211002195 |
| Provider Name | Cheryl Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184677742 PECOS PAC ID: 4082683651 Enrollment ID: I20231219000759 |
| Provider Name | Stacy Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410163 PECOS PAC ID: 8426455569 Enrollment ID: I20240122002211 |
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 | |
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Hoover Alt Md 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 | |
Taylor Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Ridgeway Dr, Birmingham, AL 35209 Phone: 205-447-0703 |