| Jpl Family Medicine, Inc | |
|
1810 Stadium Dr Suite 210 Phenix City AL 36867-3177 | |
| (334) 291-5255 | |
| (877) 395-0710 |
| Full Name | Jpl Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 Stadium Dr, Phenix City, Alabama |
| Authorized Official Name and Position | Derric N Jackson (ADMINISTRATON/COO) |
| Authorized Official Contact | 3342915255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jpl Family Medicine, Inc Po Box 1045 Phenix City AL 36868-1045 Ph: (334) 291-5255 | Jpl Family Medicine, Inc 1810 Stadium Dr Suite 210 Phenix City AL 36867-3177 Ph: (334) 291-5255 |
| NPI Number | 1578758553 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7012087174 |
|---|---|
| Medicare Enrollment ID | O20080531000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578758553 | NPI | - | NPPES |
| 053082406B | Medicaid | GA | |
| MD 26806 | Other | AL | AL LICENSE |
| 101067 | Medicaid | AL | |
| 056705 | Other | GA | GA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Funches Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497705123 PECOS PAC ID: 9739190166 Enrollment ID: I20070404000508 |
James F Zumstein Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Drive, Suite 230, Phenix City, AL 36867 Phone: 334-664-0219 Fax: 334-664-0224 | |
B.l. Carden, Md,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Stadium Dr, Suite 220, Phenix City, AL 36867 Phone: 334-664-0210 | |
Chimed Rehab Ficpc, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 S Railroad St Ste D, Phenix City, AL 36867 Phone: 334-298-7700 | |
Richard A. Valentine Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 Fax: 334-297-7937 | |
William R. Jordan, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 7th Ave Ste B, Phenix City, AL 36867 Phone: 334-297-7790 Fax: 334-297-7127 | |
Columbus Ambulatory Healthcare Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Dr Ste 240, Phenix City, AL 36867 Phone: 334-291-8303 Fax: 334-291-8325 |