| Medical East Of Decatur Inc | |
|
4166 Highway 36 E Somerville AL 35670-5803 | |
| (256) 778-7172 | |
| (256) 778-8910 |
| Full Name | Medical East Of Decatur Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4166 Highway 36 E, Somerville, Alabama |
| Authorized Official Name and Position | Michelle D Graham (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2564322822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical East Of Decatur Inc 2941 Point Mallard Pkwy Se Decatur AL 35603-5716 Ph: (256) 432-2822 | Medical East Of Decatur Inc 4166 Highway 36 E Somerville AL 35670-5803 Ph: (256) 778-7172 |
| NPI Number | 1700238508 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 05/22/2025 |
| Medicare PECOS PAC ID | 4688731409 |
|---|---|
| Medicare Enrollment ID | O20161129000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700238508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Central Pediatrics Of Somerville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3609 Highway 67 S, Somerville, AL 35670 Phone: 256-233-0712 |