| Immediate Care Center Of The South, Llc | |
|
4270 Cottage Hill Rd Mobile AL 36609-4286 | |
| (251) 602-6996 | |
| (251) 666-8398 |
| Full Name | Immediate Care Center Of The South, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4270 Cottage Hill Rd, Mobile, Alabama |
| Authorized Official Name and Position | Larry Lockhart (OWNER) |
| Authorized Official Contact | 2514632553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Center Of The South, Llc Po Box 91687 Mobile AL 36691-1687 Ph: (251) 602-6996 | Immediate Care Center Of The South, Llc 4270 Cottage Hill Rd Mobile AL 36609-4286 Ph: (251) 602-6996 |
| NPI Number | 1326294414 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 8628133683 |
|---|---|
| Medicare Enrollment ID | O20090209000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326294414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gamil S Dawood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730118530 PECOS PAC ID: 0941297683 Enrollment ID: I20040426001888 |
| Provider Name | Marty D Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831122795 PECOS PAC ID: 1052352598 Enrollment ID: I20050516000415 |
| Provider Name | Brian P Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780608042 PECOS PAC ID: 8224061304 Enrollment ID: I20050919000369 |
| Provider Name | Robert D Lightfoot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932289402 PECOS PAC ID: 3476560624 Enrollment ID: I20060313000376 |
| Provider Name | Thomasina H Anderson-sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023085669 PECOS PAC ID: 4284638172 Enrollment ID: I20060907000339 |
| Provider Name | Eduardo G Calderon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952379109 PECOS PAC ID: 1052212198 Enrollment ID: I20061128000377 |
| Provider Name | Sheila Dillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497808000 PECOS PAC ID: 1153418900 Enrollment ID: I20071026000265 |
| Provider Name | Timothy R Toms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831174390 PECOS PAC ID: 1557459849 Enrollment ID: I20071120000615 |
| Provider Name | Vaughn H Mancha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184738668 PECOS PAC ID: 6406033885 Enrollment ID: I20110613000256 |
| Provider Name | Stacey L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053667840 PECOS PAC ID: 7214186717 Enrollment ID: I20120926000798 |
| Provider Name | Paul A Watkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518279520 PECOS PAC ID: 1557504065 Enrollment ID: I20130903000420 |
| Provider Name | Donna M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861785693 PECOS PAC ID: 4082840509 Enrollment ID: I20140220000200 |
| Provider Name | Erin M Risco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172989 PECOS PAC ID: 1850521469 Enrollment ID: I20140227000574 |
| Provider Name | Stephen M Cordi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457765570 PECOS PAC ID: 1850511692 Enrollment ID: I20140930001204 |
| Provider Name | Hoyt H Reynolds |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215276191 PECOS PAC ID: 6709178957 Enrollment ID: I20160707001902 |
| Provider Name | Jennifer Kathleen Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609002500 PECOS PAC ID: 4385808476 Enrollment ID: I20170724003941 |
| Provider Name | Sean A O'mara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881084507 PECOS PAC ID: 6608287859 Enrollment ID: I20201119002548 |
| Provider Name | Benjamin E Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316408263 PECOS PAC ID: 4789097924 Enrollment ID: I20210108000274 |
| Provider Name | Mary A Ludvigsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194740514 PECOS PAC ID: 9436109402 Enrollment ID: I20210323001260 |
| Provider Name | Melissa J Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811598261 PECOS PAC ID: 2567871791 Enrollment ID: I20210429000979 |
| Provider Name | Tammy Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044044 PECOS PAC ID: 7416109509 Enrollment ID: I20220608001851 |
| Provider Name | William A Woolery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013956572 PECOS PAC ID: 5395717938 Enrollment ID: I20240304003210 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
University Of South Alabama Health Services Foundation 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 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
University Of South Alabama 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 | |
Midtown Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Bel Air Blvd Ste 9, Mobile, AL 36606 Phone: 251-533-3143 Fax: 251-650-1525 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 |