| Five Horizons Health Services | |
|
2720 6th St Tuscaloosa AL 35401 | |
| (205) 759-8470 | |
| (205) 366-9001 |
| Full Name | Five Horizons Health Services |
|---|---|
| Speciality | General Practice |
| Location | 2720 6th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Billy Daniel Kirkpatrick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2057598470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Horizons Health Services 2720 6th St Tuscaloosa AL 35401-1731 Ph: (205) 759-8470 | Five Horizons Health Services 2720 6th St Tuscaloosa AL 35401 Ph: (205) 759-8470 |
| NPI Number | 1033637434 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7517212376 |
|---|---|
| Medicare Enrollment ID | O20180619001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James Bryan Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750453874 PECOS PAC ID: 4082519590 Enrollment ID: I20031211000956 |
| Provider Name | Jawaneka P Ellerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396276127 PECOS PAC ID: 1850660424 Enrollment ID: I20170713001341 |
| Provider Name | Tyler B Keenum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073041505 PECOS PAC ID: 2668727926 Enrollment ID: I20180611001070 |
| Provider Name | Jimmy Dean Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719033 PECOS PAC ID: 8426398991 Enrollment ID: I20190319003083 |
| Provider Name | Angela Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316327638 PECOS PAC ID: 1254769375 Enrollment ID: I20200323002948 |
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