| Healing Headquarters Inc | |
|
3090 Dauphin Sq Connector Ste D Mobile AL 36607-2500 | |
| (251) 202-3209 | |
| Not Available |
| Full Name | Healing Headquarters Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3090 Dauphin Sq Connector Ste D, Mobile, Alabama |
| Authorized Official Name and Position | Tyler Stout (DIRECTOR) |
| Authorized Official Contact | 3373157927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Headquarters Inc 3090 Dauphin Sq Connector Ste D Mobile AL 36607-2500 Ph: (251) 202-3209 | Healing Headquarters Inc 3090 Dauphin Sq Connector Ste D Mobile AL 36607-2500 Ph: (251) 202-3209 |
| NPI Number | 1174411193 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Medicare PECOS PAC ID | 4587165071 |
|---|---|
| Medicare Enrollment ID | O20250827002784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174411193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Justin F Brewer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922299783 PECOS PAC ID: 7113010273 Enrollment ID: I20070905000503 |
| Provider Name | Gregory R Myrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786960 PECOS PAC ID: 9335335942 Enrollment ID: I20101122000963 |
| Provider Name | Evan Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908874 PECOS PAC ID: 0941684823 Enrollment ID: I20250827003157 |
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USA Department of Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 |
Mobile County Board of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 |
Dr Albert Thomas Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 |
USA Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 |
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