| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 07/18/2025 |
| Medicare PECOS PAC ID | 9133538432 |
|---|---|
| Medicare Enrollment ID | O20210517000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770161432 | NPI | - | NPPES |
| Provider Name | Kathleen M Dupper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023184017 PECOS PAC ID: 1456396324 Enrollment ID: I20050621001219 |
| Provider Name | Mary M Swindall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790084812 PECOS PAC ID: 9830340413 Enrollment ID: I20121107000410 |
| Provider Name | Jacquise L Taliaferro |
|---|---|
| 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 | 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 | Bridget D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174000368 PECOS PAC ID: 9234480286 Enrollment ID: I20181001003366 |
| 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 |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221107001623 |
| Provider Name | John Schumann |
|---|---|
| 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 |
|---|---|
| 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 |
| Provider Name | Samone Shanteirra James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275170177 PECOS PAC ID: 3375065824 Enrollment ID: I20250313003261 |
Lifestyle Management Of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 | |
Protective Life Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 | |
Priority Care Systems, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Corporate Dr Ste 110, Birmingham, AL 35242 Phone: 833-252-4936 | |
Inverness Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 | |
Alt Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 | |
Birmingham Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 | |
Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 |