| Immediate Care Foley LLC | |
|
1265 S Mckenzie St Foley AL 36535-1818 | |
| (251) 300-2785 | |
| (251) 300-2771 |
| Full Name | Immediate Care Foley LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1265 S Mckenzie St, Foley, Alabama |
| Authorized Official Name and Position | Barry Porter (BUSINESS MANAGER) |
| Authorized Official Contact | 2513002785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Foley LLC Po Box 91747 Mobile AL 36691-1747 Ph: (251) 300-2785 | Immediate Care Foley LLC 1265 S Mckenzie St Foley AL 36535-1818 Ph: (251) 300-2785 |
| NPI Number | 1508106592 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 9830330695 |
|---|---|
| Medicare Enrollment ID | O20130722000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508106592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 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 | 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 | Steven P Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659551851 PECOS PAC ID: 9739260860 Enrollment ID: I20080115000581 |
| Provider Name | Jason Presley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518135151 PECOS PAC ID: 0749359503 Enrollment ID: I20080731000569 |
| Provider Name | Vaughn H Mancha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184738668 PECOS PAC ID: 6406033885 Enrollment ID: I20110613000256 |
| Provider Name | Parker Anthony Velargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003080201 PECOS PAC ID: 8820235781 Enrollment ID: I20130801000478 |
| 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 | Ashley M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902254378 PECOS PAC ID: 8628361409 Enrollment ID: I20160802000176 |
| 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 M 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 |
| Provider Name | Sarah U Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740070960 PECOS PAC ID: 0446751267 Enrollment ID: I20250902002418 |
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Foley Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 W Orange Ave, Foley, AL 36535 Phone: 251-943-6108 Fax: 251-943-6108 |
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