| JF Evermend LLC | |
|
131 Edenshire Dr Huntsville AL 35811-9759 | |
| (256) 658-5227 | |
| Not Available |
| Full Name | JF Evermend LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 Edenshire Dr, Huntsville, Alabama |
| Authorized Official Name and Position | Joshua Tate (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2566585227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| JF Evermend LLC 131 Edenshire Dr Huntsville AL 35811-9759 Ph: (256) 658-5227 | JF Evermend LLC 131 Edenshire Dr Huntsville AL 35811-9759 Ph: (256) 658-5227 |
| NPI Number | 1730075128 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Medicare PECOS PAC ID | 9537677828 |
|---|---|
| Medicare Enrollment ID | O20250806003962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730075128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Joshua Mark Tate |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467899120 PECOS PAC ID: 4789815762 Enrollment ID: I20220819000138 |
| Provider Name | John Rey Lucas Kahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518651850 PECOS PAC ID: 0648630079 Enrollment ID: I20230718000715 |
| Provider Name | Francis Essien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801381736 PECOS PAC ID: 0244581874 Enrollment ID: I20250703000241 |
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