| Diabetes Management Partners Llc | |
|
50 Medical Park Dr E Birmingham AL 35235-3401 | |
| (904) 372-3943 | |
| (904) 212-1618 |
| Full Name | Diabetes Management Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Medical Park Dr E, Birmingham, Alabama |
| Authorized Official Name and Position | Kyle Mooney (CEO) |
| Authorized Official Contact | 9043723943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Management Partners Llc 7751 Belfort Pkwy Ste 120 Jacksonville FL 32256-6921 Ph: (904) 372-3943 | Diabetes Management Partners Llc 50 Medical Park Dr E Birmingham AL 35235-3401 Ph: (904) 372-3943 |
| NPI Number | 1013461193 |
|---|---|
| Provider Enumeration Date | 08/07/2016 |
| Last Update Date | 04/25/2025 |
| Medicare PECOS PAC ID | 9436435385 |
|---|---|
| Medicare Enrollment ID | O20170410000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013461193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | David R Sutton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447252523 PECOS PAC ID: 1850433582 Enrollment ID: I20100119000503 |
| Provider Name | Kyle Jonathon Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839359 PECOS PAC ID: 4183021884 Enrollment ID: I20220225002467 |
| Provider Name | Princily Senthilkumaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093545154 PECOS PAC ID: 5092255083 Enrollment ID: I20240905000035 |
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