| Evolve Behavioral Health | |
|
2904 Mall Rd Florence AL 35630-1641 | |
| (256) 767-3330 | |
| (949) 695-4340 |
| Full Name | Evolve Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2904 Mall Rd, Florence, Alabama |
| Authorized Official Name and Position | Jessi Blackstock Tidwell (CO-OWNER) |
| Authorized Official Contact | 2567673330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Behavioral Health 2904 Mall Rd Florence AL 35630-1641 Ph: (256) 767-3330 | Evolve Behavioral Health 2904 Mall Rd Florence AL 35630-1641 Ph: (256) 767-3330 |
| NPI Number | 1316708993 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 9032559521 |
|---|---|
| Medicare Enrollment ID | O20240501001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316708993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
| Provider Name | Evans N Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20160125001896 |
| Provider Name | Deborah a Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164980017 PECOS PAC ID: 1355677741 Enrollment ID: I20190723001961 |
| Provider Name | Jessi Blackstock Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013556356 PECOS PAC ID: 3476938606 Enrollment ID: I20220923001027 |
| Provider Name | Holly L Sherrod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609629732 PECOS PAC ID: 0941713952 Enrollment ID: I20250702001735 |
| Provider Name | Margo R Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659195311 PECOS PAC ID: 4486141629 Enrollment ID: I20251013002515 |
Northwest Alabama Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2095 Florence Blvd, Florence, AL 35630 Phone: 256-766-2310 Fax: 256-768-9956 |
Singing River Healthcare, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 W College St, Florence, AL 35630 Phone: 256-766-3593 |
Eliza Coffee Memorial Hospital-hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 |
Advantage Family Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Cox Creek Pkwy, Florence, AL 35630 Phone: 256-349-5496 Fax: 256-349-5497 |
Vinaya K Yadla MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Cloyd Blvd, Suite 5, Florence, AL 35630 Phone: 256-766-0060 Fax: 256-766-2111 |
Infection Care of North Alabama LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Cloyd Blvd, Suite 5, Florence, AL 35630 Phone: 917-623-2969 |