| Henagar Family Medicine, L.l.c. | |
|
18324 Alabama Highway 75 Henagar AL 35978 | |
| (256) 657-1101 | |
| (256) 657-1115 |
| Full Name | Henagar Family Medicine, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 18324 Alabama Highway 75, Henagar, Alabama |
| Authorized Official Name and Position | Anthony Sims (OWNER) |
| Authorized Official Contact | 2566571101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henagar Family Medicine, L.l.c. P.o. Box 518 Henagar AL 35978 Ph: (256) 657-1101 | Henagar Family Medicine, L.l.c. 18324 Alabama Highway 75 Henagar AL 35978 Ph: (256) 657-1101 |
| NPI Number | 1740375732 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 3375513781 |
|---|---|
| Medicare Enrollment ID | O20040730000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740375732 | NPI | - | NPPES |
| 051522432 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376508218 PECOS PAC ID: 4587659511 Enrollment ID: I20040419000444 |
| Provider Name | Anthony Clark Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992786636 PECOS PAC ID: 3577533900 Enrollment ID: I20040812001118 |
| Provider Name | Brett W Darwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831203637 PECOS PAC ID: 0143303347 Enrollment ID: I20210630004091 |
Henagar Eye Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17154 Al Hwy 75, Henagar, AL 35978 Phone: 256-657-3453 Fax: 256-657-3294 |