Oak Street Health Physicians Group Of Alabama, Llc | |
1687 Center Point Pkwy Ste 121 Birmingham AL 35215-5525 | |
(205) 557-7022 | |
(205) 831-2849 |
Full Name | Oak Street Health Physicians Group Of Alabama, Llc |
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Speciality | Clinic/Center |
Location | 1687 Center Point Pkwy Ste 121, Birmingham, Alabama |
Authorized Official Name and Position | Terrence Morton (CMO) |
Authorized Official Contact | 7046074835 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Street Health Physicians Group Of Alabama, Llc Po Box 746063 Atlanta GA 30374-6063 Ph: (773) 352-1515 | Oak Street Health Physicians Group Of Alabama, Llc 1687 Center Point Pkwy Ste 121 Birmingham AL 35215-5525 Ph: (205) 557-7022 |
NPI Number | 1770161432 |
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Provider Enumeration Date | 04/01/2021 |
Last Update Date | 04/18/2025 |
Medicare PECOS PAC ID | 9133538432 |
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Medicare Enrollment ID | O20210517000591 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770161432 | NPI | - | NPPES |
Provider Name | Kathleen M Dupper |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023184017 PECOS PAC ID: 1456396324 Enrollment ID: I20050621001219 |
Provider Name | Mary M Swindall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790084812 PECOS PAC ID: 9830340413 Enrollment ID: I20121107000410 |
Provider Name | Jacquise L Taliaferro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275888455 PECOS PAC ID: 1557515350 Enrollment ID: I20130201000352 |
Provider Name | Sherilyn M Donnelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689911414 PECOS PAC ID: 4284871906 Enrollment ID: I20130516000209 |
Provider Name | Tawanda Sheral Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124413661 PECOS PAC ID: 0547580227 Enrollment ID: I20150520001273 |
Provider Name | Ashley N Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114395852 PECOS PAC ID: 8921307786 Enrollment ID: I20160428001350 |
Provider Name | Annjerald Devance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629437785 PECOS PAC ID: 2163716408 Enrollment ID: I20160809000763 |
Provider Name | Sharon R Lettrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104334341 PECOS PAC ID: 5496017683 Enrollment ID: I20180328001767 |
Provider Name | Kristina Waters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932797107 PECOS PAC ID: 4385038165 Enrollment ID: I20220221000658 |
Provider Name | Rochelle Brumfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518415959 PECOS PAC ID: 4486935533 Enrollment ID: I20220528000161 |
Provider Name | Sherwanna Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831784164 PECOS PAC ID: 5193103257 Enrollment ID: I20220601001306 |
Provider Name | Anita Basil Varkey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265477822 PECOS PAC ID: 2466457700 Enrollment ID: I20220801003058 |
Provider Name | Rachel Sabb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20220801003134 |
Provider Name | Dylan E Caggiano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851873079 PECOS PAC ID: 6901238922 Enrollment ID: I20221103002951 |
Provider Name | Justin Hunt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221107001623 |
Provider Name | John Schumann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144383654 PECOS PAC ID: 3971685157 Enrollment ID: I20230206001865 |
Provider Name | Kiwanda Garner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578226668 PECOS PAC ID: 4385017037 Enrollment ID: I20230301000231 |
Provider Name | Jeffrey Coykendall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659707867 PECOS PAC ID: 2365801131 Enrollment ID: I20230711003993 |
Provider Name | Bhavik B Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356933691 PECOS PAC ID: 6002276722 Enrollment ID: I20230713000569 |
Provider Name | Ahmed Mohiuddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316264229 PECOS PAC ID: 4385872977 Enrollment ID: I20230919002682 |
Provider Name | Melissa Cruz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205473881 PECOS PAC ID: 2466874680 Enrollment ID: I20240327003806 |
Provider Name | Marilyn Johnson-nelson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295078053 PECOS PAC ID: 4385082395 Enrollment ID: I20240409003666 |
Provider Name | Debra Denise Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871321091 PECOS PAC ID: 5092242834 Enrollment ID: I20241218002040 |
Provider Name | Sindhu Lakkur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669050282 PECOS PAC ID: 9638606742 Enrollment ID: I20241231000448 |
Provider Name | Hyojeong Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790433910 PECOS PAC ID: 0648653048 Enrollment ID: I20250106001332 |
Provider Name | Tracee Raife |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134465743 PECOS PAC ID: 0042596876 Enrollment ID: I20250130000469 |
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