| First Kids | |
|
1251 Mcfarland Blvd Ne Ste B Tuscaloosa AL 35406-2205 | |
| (205) 349-2323 | |
| (205) 349-1155 |
| Full Name | First Kids |
|---|---|
| Speciality | Family Medicine |
| Location | 1251 Mcfarland Blvd Ne Ste B, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Sasank Raheel Peramsetty (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2053492323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Kids 1429 18th Ave E Tuscaloosa AL 35404-3949 Ph: (205) 523-7483 | First Kids 1251 Mcfarland Blvd Ne Ste B Tuscaloosa AL 35406-2205 Ph: (205) 349-2323 |
| NPI Number | 1245810886 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 03/11/2025 |
| Medicare PECOS PAC ID | 7517350648 |
|---|---|
| Medicare Enrollment ID | O20220211001668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245810886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Bobbie S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265549851 PECOS PAC ID: 2163514274 Enrollment ID: I20070822000111 |
| Provider Name | Tracy C Grissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154654374 PECOS PAC ID: 2860527983 Enrollment ID: I20100315000825 |
| Provider Name | Shanna L Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366716722 PECOS PAC ID: 5890947303 Enrollment ID: I20121210000016 |
| Provider Name | Amy M Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973125 PECOS PAC ID: 1254620834 Enrollment ID: I20170125001566 |
| Provider Name | Jinwoo Hur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306336011 PECOS PAC ID: 2062763485 Enrollment ID: I20200812003836 |
| Provider Name | Kelli E. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396323036 PECOS PAC ID: 5890102990 Enrollment ID: I20210407000345 |
| Provider Name | Caitlyn Noel Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710552823 PECOS PAC ID: 3173927951 Enrollment ID: I20210803000001 |
| Provider Name | Mallory Brooke Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932859774 PECOS PAC ID: 9032593538 Enrollment ID: I20220901001427 |
| Provider Name | Sean D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164198677 PECOS PAC ID: 6002205747 Enrollment ID: I20230117000845 |
| 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 | Sasank Raheel Peramsetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225666175 PECOS PAC ID: 5294133740 Enrollment ID: I20230829000616 |
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