| Fast Pace Medical Clinic Pllc | |
|
416 N Seminary St Ste 1100 Florence AL 35630-6411 | |
| (931) 253-1110 | |
| (256) 664-4280 |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 416 N Seminary St Ste 1100, Florence, Alabama |
| Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9319811901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc Po Box 1258 Waynesboro TN 38485-1258 Ph: (931) 253-1110 | Fast Pace Medical Clinic Pllc 416 N Seminary St Ste 1100 Florence AL 35630-6411 Ph: (931) 253-1110 |
| NPI Number | 1639679962 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 5395881841 |
|---|---|
| Medicare Enrollment ID | O20200415001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639679962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Stanley W Jett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154424695 PECOS PAC ID: 2668376211 Enrollment ID: I20031125000191 |
| Provider Name | Douglas Mcbride |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255426037 PECOS PAC ID: 5698677839 Enrollment ID: I20040127000259 |
| Provider Name | Atiba K Callins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487676755 PECOS PAC ID: 5698733210 Enrollment ID: I20041229000724 |
| Provider Name | Stephanie R Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255375911 PECOS PAC ID: 9830133982 Enrollment ID: I20050620000318 |
| Provider Name | Jenny R Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700869609 PECOS PAC ID: 9032136080 Enrollment ID: I20051028000408 |
| Provider Name | Jeremy W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447287115 PECOS PAC ID: 4284648023 Enrollment ID: I20060131000678 |
| Provider Name | Amy L Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588840177 PECOS PAC ID: 2860571619 Enrollment ID: I20080505000430 |
| Provider Name | Rupa B Shiva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215147905 PECOS PAC ID: 2466522719 Enrollment ID: I20080529000650 |
| Provider Name | Jeffrey F Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884426 PECOS PAC ID: 2264599091 Enrollment ID: I20090324000220 |
| Provider Name | Howard E Mcveigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356404776 PECOS PAC ID: 7719907732 Enrollment ID: I20090702000572 |
| Provider Name | Leigh Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740421692 PECOS PAC ID: 1951454479 Enrollment ID: I20090731000240 |
| Provider Name | Josiah C Daily |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285837377 PECOS PAC ID: 6800931056 Enrollment ID: I20100226000797 |
| Provider Name | Rebecca T Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497077721 PECOS PAC ID: 2466584966 Enrollment ID: I20100720000108 |
| Provider Name | Henry Rene Lemley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366489528 PECOS PAC ID: 1153367818 Enrollment ID: I20101007000130 |
| Provider Name | Sherry K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386968170 PECOS PAC ID: 0749472801 Enrollment ID: I20101007000426 |
| Provider Name | Shanda P Cotney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255588893 PECOS PAC ID: 2163588088 Enrollment ID: I20110518000535 |
| Provider Name | Renee Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932463072 PECOS PAC ID: 3173770849 Enrollment ID: I20120831000252 |
| Provider Name | Selena Michelle Gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215214432 PECOS PAC ID: 1052577368 Enrollment ID: I20121004000402 |
| Provider Name | Katherine A Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356582100 PECOS PAC ID: 6608020128 Enrollment ID: I20130211000347 |
| Provider Name | Jennifer Grimmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629414198 PECOS PAC ID: 3375782113 Enrollment ID: I20130626000827 |
| Provider Name | April L Garrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975757 PECOS PAC ID: 9234371360 Enrollment ID: I20130820000214 |
| Provider Name | Nikita Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629309018 PECOS PAC ID: 4284877564 Enrollment ID: I20130905000876 |
| Provider Name | Barbara A Boreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184851966 PECOS PAC ID: 8426287715 Enrollment ID: I20140207001171 |
| Provider Name | Jennivie S Latham-hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747071 PECOS PAC ID: 3779713912 Enrollment ID: I20140307001133 |
| Provider Name | Leticia Monique Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871936641 PECOS PAC ID: 3375774177 Enrollment ID: I20140421001204 |
| Provider Name | Hala Shama Mourtada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417372509 PECOS PAC ID: 6608099528 Enrollment ID: I20140522000889 |
| Provider Name | Minnie M Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228174 PECOS PAC ID: 4587889282 Enrollment ID: I20140715000076 |
| Provider Name | Stella Jeanine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285930230 PECOS PAC ID: 1254596646 Enrollment ID: I20140930002038 |
| Provider Name | Joyce S Williford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154738201 PECOS PAC ID: 7719204668 Enrollment ID: I20150402001290 |
| Provider Name | Jonathan A Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700272127 PECOS PAC ID: 1850602210 Enrollment ID: I20150625002175 |
| Provider Name | Amy N Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730505579 PECOS PAC ID: 4385956218 Enrollment ID: I20150707002426 |
| Provider Name | Bradley Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700267507 PECOS PAC ID: 7315255072 Enrollment ID: I20150929001864 |
| Provider Name | Jonathan Lamar Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467267 PECOS PAC ID: 6002125853 Enrollment ID: I20151019002336 |
| Provider Name | Jane E Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613981 PECOS PAC ID: 2668774746 Enrollment ID: I20160106001732 |
| Provider Name | Deborah M Lusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598151235 PECOS PAC ID: 4880906213 Enrollment ID: I20160223001130 |
| Provider Name | Candace Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306216825 PECOS PAC ID: 8628374121 Enrollment ID: I20160309001892 |
| Provider Name | Brandi Malsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766242 PECOS PAC ID: 1658679717 Enrollment ID: I20160406001422 |
| Provider Name | Lisa Renee Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486725 PECOS PAC ID: 1850680497 Enrollment ID: I20160520000509 |
| Provider Name | Kaley Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659725786 PECOS PAC ID: 6002107984 Enrollment ID: I20160623001666 |
| Provider Name | Toni Hosea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649626441 PECOS PAC ID: 6204129919 Enrollment ID: I20160718002222 |
| Provider Name | Kristen N Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982970232 PECOS PAC ID: 9234432188 Enrollment ID: I20160719002009 |
| Provider Name | Jason Lee Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031367 PECOS PAC ID: 1658594452 Enrollment ID: I20160812001314 |
| Provider Name | Stephanie Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699134023 PECOS PAC ID: 0941595235 Enrollment ID: I20160825001609 |
| Provider Name | Harmony Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483300 PECOS PAC ID: 2264714690 Enrollment ID: I20170120000159 |
| Provider Name | Elva Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012629 PECOS PAC ID: 5496022998 Enrollment ID: I20170605002985 |
| Provider Name | Elizabeth Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790229052 PECOS PAC ID: 9931470549 Enrollment ID: I20170731003759 |
| Provider Name | Margaret Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386167450 PECOS PAC ID: 1850664087 Enrollment ID: I20170908002530 |
| Provider Name | Alycia Kapiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700198132 PECOS PAC ID: 5799956694 Enrollment ID: I20170927002719 |
| Provider Name | Vanessa Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033560636 PECOS PAC ID: 5597030601 Enrollment ID: I20170928003602 |
| Provider Name | Jennifer Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481050 PECOS PAC ID: 0345509915 Enrollment ID: I20180108000841 |
| Provider Name | Susan Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760912596 PECOS PAC ID: 3577833318 Enrollment ID: I20180213003353 |
| Provider Name | Thelma J Robidart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669990859 PECOS PAC ID: 9032471321 Enrollment ID: I20180327000054 |
| Provider Name | Deborah Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553264 PECOS PAC ID: 6204190044 Enrollment ID: I20180503000865 |
| Provider Name | Christopher Stagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211496 PECOS PAC ID: 4385908755 Enrollment ID: I20180510002663 |
| Provider Name | Jason Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659621589 PECOS PAC ID: 7012272131 Enrollment ID: I20180521000403 |
| Provider Name | Brandi Huett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043723232 PECOS PAC ID: 2163787011 Enrollment ID: I20180524002894 |
| Provider Name | Tara F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174079602 PECOS PAC ID: 7719261353 Enrollment ID: I20180828003059 |
| Provider Name | Raegan Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316436504 PECOS PAC ID: 1052663002 Enrollment ID: I20181003000455 |
| Provider Name | Mary Page H Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700956265 PECOS PAC ID: 0446252373 Enrollment ID: I20181015001900 |
| Provider Name | Ashley Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902324338 PECOS PAC ID: 2163766593 Enrollment ID: I20181211003483 |
| Provider Name | Amber Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612456 PECOS PAC ID: 7911247291 Enrollment ID: I20190323000112 |
| Provider Name | Laura Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196081 PECOS PAC ID: 3678806536 Enrollment ID: I20190607000557 |
| Provider Name | Peggy Jo Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041804 PECOS PAC ID: 4082948286 Enrollment ID: I20190621000975 |
| Provider Name | Anna Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093373052 PECOS PAC ID: 7214264217 Enrollment ID: I20190814001637 |
| Provider Name | Erica Brandi King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388916 PECOS PAC ID: 5991034936 Enrollment ID: I20190917000953 |
| Provider Name | Douglas Van Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417538 PECOS PAC ID: 8921339821 Enrollment ID: I20191007003709 |
| Provider Name | Rosanne Gallahar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017515 PECOS PAC ID: 9830420777 Enrollment ID: I20191008002109 |
| Provider Name | Haley E Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397774 PECOS PAC ID: 2961662408 Enrollment ID: I20191009001102 |
| Provider Name | Miranda Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528614773 PECOS PAC ID: 8123359650 Enrollment ID: I20191014002157 |
| Provider Name | Carla Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477950830 PECOS PAC ID: 0042642126 Enrollment ID: I20191111001656 |
| Provider Name | Allie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346802808 PECOS PAC ID: 1951733963 Enrollment ID: I20191113001603 |
| Provider Name | Brian A Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265085880 PECOS PAC ID: 0547694218 Enrollment ID: I20200106001685 |
| Provider Name | Katelyn Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477092 PECOS PAC ID: 2567897952 Enrollment ID: I20200113001352 |
| Provider Name | Yaleshia Diann Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699320911 PECOS PAC ID: 9335560945 Enrollment ID: I20200608002099 |
| Provider Name | Dena Elise Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679109755 PECOS PAC ID: 2264853779 Enrollment ID: I20200608002568 |
| Provider Name | Elizabeth Ogletree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497364269 PECOS PAC ID: 3779908728 Enrollment ID: I20200807000738 |
| Provider Name | Jennifer Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902435282 PECOS PAC ID: 7517382468 Enrollment ID: I20200810000886 |
| Provider Name | Claudine Nicolle Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548809916 PECOS PAC ID: 7416373493 Enrollment ID: I20200820003281 |
| Provider Name | Jessica Leigh Fuqua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659981959 PECOS PAC ID: 3274951058 Enrollment ID: I20200910001003 |
| Provider Name | Michael P Brisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457811663 PECOS PAC ID: 2365676608 Enrollment ID: I20201103001657 |
| Provider Name | Maranda Kay Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639779069 PECOS PAC ID: 8224449632 Enrollment ID: I20201116001159 |
| Provider Name | Ellen Massengale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952904419 PECOS PAC ID: 8426461526 Enrollment ID: I20210111001013 |
| Provider Name | Kiyah Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316407554 PECOS PAC ID: 2769897255 Enrollment ID: I20210216000196 |
| Provider Name | Kelly Tomasie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629670666 PECOS PAC ID: 8022423516 Enrollment ID: I20210216000205 |
| Provider Name | Angela Christine Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124621594 PECOS PAC ID: 4082029434 Enrollment ID: I20210216002464 |
| Provider Name | Julieana Brzozowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922696541 PECOS PAC ID: 6305253071 Enrollment ID: I20210324001984 |
| Provider Name | Pamela Poghen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366712770 PECOS PAC ID: 4082962907 Enrollment ID: I20210416000637 |
| Provider Name | Shandy Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932546124 PECOS PAC ID: 7517107816 Enrollment ID: I20210419000825 |
| Provider Name | Brittany Leigh-ann Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255005039 PECOS PAC ID: 7315342839 Enrollment ID: I20210823000304 |
| Provider Name | Kerstin Mcelvain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320706 PECOS PAC ID: 1355504663 Enrollment ID: I20211014003269 |
| Provider Name | Jennifer Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065209 PECOS PAC ID: 7810228335 Enrollment ID: I20211022000606 |
| Provider Name | Michelle M Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154792687 PECOS PAC ID: 4688976152 Enrollment ID: I20211027001911 |
| Provider Name | Brittany L Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457014375 PECOS PAC ID: 6103215314 Enrollment ID: I20211109002813 |
| Provider Name | Angela M Houseworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528212164 PECOS PAC ID: 2365503471 Enrollment ID: I20211214002786 |
| Provider Name | Austin Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255840492 PECOS PAC ID: 5092131631 Enrollment ID: I20211216000267 |
| Provider Name | Lauren Ashlee Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195871 PECOS PAC ID: 1254722481 Enrollment ID: I20211227000266 |
| Provider Name | Deigo Cacho-tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922763903 PECOS PAC ID: 1153715024 Enrollment ID: I20220218002352 |
| Provider Name | Jeremias Georgiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194423 PECOS PAC ID: 5597174656 Enrollment ID: I20220322001628 |
| Provider Name | Shaqualyn Taite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881211019 PECOS PAC ID: 6406241660 Enrollment ID: I20220325000158 |
| Provider Name | Reba Beech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093945347 PECOS PAC ID: 6103212014 Enrollment ID: I20220401000295 |
| Provider Name | Andrietta Wright Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20220406001651 |
| Provider Name | Karlee Stamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976593 PECOS PAC ID: 9335436435 Enrollment ID: I20220727003281 |
| Provider Name | Zackary Bever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003546698 PECOS PAC ID: 4385026376 Enrollment ID: I20220808002805 |
| Provider Name | Tiffany Amber Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659099257 PECOS PAC ID: 0244607349 Enrollment ID: I20221102001887 |
| Provider Name | Kayla Winfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467173864 PECOS PAC ID: 0345617379 Enrollment ID: I20221104000960 |
| Provider Name | Heidi Campbell Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710603659 PECOS PAC ID: 6103293055 Enrollment ID: I20221104002222 |
| Provider Name | Shelby Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720703663 PECOS PAC ID: 3971971698 Enrollment ID: I20221130000223 |
| Provider Name | Robin Yeargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407302953 PECOS PAC ID: 8426337502 Enrollment ID: I20221220000403 |
| Provider Name | Tracie Michelle Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801368618 PECOS PAC ID: 4587072475 Enrollment ID: I20230227000095 |
| Provider Name | Savanna Leigh Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336793314 PECOS PAC ID: 6406186634 Enrollment ID: I20230308001273 |
| Provider Name | Brandi Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376257089 PECOS PAC ID: 6608241807 Enrollment ID: I20230330002666 |
| Provider Name | Jessica Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965614 PECOS PAC ID: 9133516594 Enrollment ID: I20230331000029 |
| Provider Name | Mary E Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295450120 PECOS PAC ID: 4688049109 Enrollment ID: I20230413002114 |
| Provider Name | Rhonda L. Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386359057 PECOS PAC ID: 0547635807 Enrollment ID: I20230419000736 |
| Provider Name | Jonathan Snipes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20230421002353 |
| Provider Name | Lynette L Moxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417340936 PECOS PAC ID: 8527386796 Enrollment ID: I20230703000987 |
| Provider Name | Heather Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073288320 PECOS PAC ID: 7618351438 Enrollment ID: I20230728000251 |
| Provider Name | Julisa Nicole Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356081897 PECOS PAC ID: 2769843853 Enrollment ID: I20230807000107 |
| Provider Name | Tiffany Renee Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164082517 PECOS PAC ID: 4981932928 Enrollment ID: I20230911000840 |
| Provider Name | Cameron Wayne Galbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753062 PECOS PAC ID: 5597150441 Enrollment ID: I20230912002575 |
| Provider Name | Melanie P Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770723603 PECOS PAC ID: 5294882098 Enrollment ID: I20231017000173 |
| Provider Name | Tina Rigsby Prousalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366684979 PECOS PAC ID: 2567513773 Enrollment ID: I20231023001135 |
| Provider Name | Danyelle Jean Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922373802 PECOS PAC ID: 3173966587 Enrollment ID: I20240213000444 |
| Provider Name | Kelly Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013774652 PECOS PAC ID: 4880031319 Enrollment ID: I20240320001558 |
| Provider Name | Brenda Ferguson Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361368 PECOS PAC ID: 9436590627 Enrollment ID: I20240520000820 |
| Provider Name | Katie Lynne Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326287665 PECOS PAC ID: 0648299578 Enrollment ID: I20240606000146 |
| Provider Name | Kira T Bloxom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477271468 PECOS PAC ID: 5395288310 Enrollment ID: I20240619000573 |
| Provider Name | Pamela Swafford Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902450281 PECOS PAC ID: 6305384363 Enrollment ID: I20240821002942 |
| Provider Name | Lanea S Goggins-syx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235814336 PECOS PAC ID: 5991237000 Enrollment ID: I20241015000181 |
| Provider Name | Brandi Batten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467007716 PECOS PAC ID: 5092164301 Enrollment ID: I20241031001284 |
| Provider Name | Robert Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20241125003309 |
| Provider Name | Emily Anne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659023174 PECOS PAC ID: 0547795643 Enrollment ID: I20241126003784 |
| Provider Name | Meagan Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073247565 PECOS PAC ID: 1557742400 Enrollment ID: I20241204004078 |
| Provider Name | James Pennington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063098192 PECOS PAC ID: 4688017486 Enrollment ID: I20241217001583 |
| Provider Name | Ana Shelbi Binkerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407682909 PECOS PAC ID: 3274060561 Enrollment ID: I20241227001313 |
| Provider Name | Sally Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528846102 PECOS PAC ID: 2860842010 Enrollment ID: I20250114003141 |
| Provider Name | Tonya Lynn Breaux Shropshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508691775 PECOS PAC ID: 2769910892 Enrollment ID: I20250116002307 |
| Provider Name | Ami Nanji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396446423 PECOS PAC ID: 0042749350 Enrollment ID: I20250130002233 |
| Provider Name | Khadija Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255914461 PECOS PAC ID: 5991159337 Enrollment ID: I20250422002069 |
| Provider Name | Hannah Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740880582 PECOS PAC ID: 8820408693 Enrollment ID: I20250422002757 |
Cardiovascular Institute Of The Shoals Pc 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 | |
The Health Care Authority Of Lauderdale County And The City Of Florenc 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 | |
Florence Medical Associates, L. L. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 646 Cox Creek Pkwy, Suite B, Florence, AL 35630 Phone: 256-760-4544 Fax: 256-246-0033 |