| Pickens County Primary Care Pc | |
|
108 4th Ave Sw Ste A Reform AL 35481-8018 | |
| (205) 375-6251 | |
| (205) 375-9064 |
| Full Name | Pickens County Primary Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 4th Ave Sw Ste A, Reform, Alabama |
| Authorized Official Name and Position | Julia L Boothe (OWNER) |
| Authorized Official Contact | 2057926701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickens County Primary Care Pc 108 4th Ave Sw Ste A Reform AL 35481-8018 Ph: (205) 375-6251 | Pickens County Primary Care Pc 108 4th Ave Sw Ste A Reform AL 35481-8018 Ph: (205) 375-6251 |
| NPI Number | 1629491451 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 07/16/2019 |
| Medicare PECOS PAC ID | 1658597307 |
|---|---|
| Medicare Enrollment ID | O20140801000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629491451 | NPI | - | NPPES |
| 162102 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Julia L Boothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397824 PECOS PAC ID: 0941102107 Enrollment ID: I20040127000341 |
| Provider Name | Robert N Honea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083713556 PECOS PAC ID: 0648218008 Enrollment ID: I20050418000815 |
| Provider Name | John Brandon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114992070 PECOS PAC ID: 4486863677 Enrollment ID: I20120117000792 |
| Provider Name | Kimberley L Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467711655 PECOS PAC ID: 3971759051 Enrollment ID: I20120806000105 |
| Provider Name | Theresa Darlene Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609114198 PECOS PAC ID: 8325283989 Enrollment ID: I20130402000284 |
| Provider Name | Chelsie N Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346672243 PECOS PAC ID: 3779717806 Enrollment ID: I20131003000395 |
| Provider Name | Cacyce Michelle Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457774200 PECOS PAC ID: 6406087774 Enrollment ID: I20140331000488 |
| Provider Name | Kacie E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838746 PECOS PAC ID: 0345540589 Enrollment ID: I20151119002870 |
| Provider Name | Brandy Kelley Junkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902259443 PECOS PAC ID: 7416241575 Enrollment ID: I20160811002504 |
| Provider Name | Jillian L Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108239 PECOS PAC ID: 8729351895 Enrollment ID: I20170912001846 |
| Provider Name | Dakota Acton-jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790167864 PECOS PAC ID: 1153638192 Enrollment ID: I20181017002326 |
| Provider Name | Marilyn Dyer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992152284 PECOS PAC ID: 0648563908 Enrollment ID: I20190823000756 |
| Provider Name | Marcus Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700425386 PECOS PAC ID: 9830527027 Enrollment ID: I20200323001118 |
| Provider Name | Alicia Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497107023 PECOS PAC ID: 7911281647 Enrollment ID: I20200324003746 |
| Provider Name | Emily R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457870743 PECOS PAC ID: 4981032935 Enrollment ID: I20200325001769 |
| Provider Name | Laci Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093341570 PECOS PAC ID: 2264860451 Enrollment ID: I20200410002245 |
| Provider Name | Randa Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946245 PECOS PAC ID: 1759758220 Enrollment ID: I20221114001137 |
| Provider Name | Erin Simpson Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649957846 PECOS PAC ID: 8527413731 Enrollment ID: I20231009000617 |
Jlbmd Consulting, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481 Phone: 205-375-6251 | |
Reform Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 10th Ave S W, Reform, AL 35481 Phone: 205-375-6251 Fax: 205-375-9064 | |
Reform Rural Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 10th Ave Sw, Reform, AL 35481 Phone: 205-375-6251 Fax: 205-375-6121 | |
Pickens County Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 4th Ave, Reform, AL 35481 Phone: 205-375-2304 Fax: 205-375-2335 | |
Pickens County Primary Care, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 7th Ave Sw, Reform, AL 35481 Phone: 205-375-2438 Fax: 205-375-2439 | |
Fenton Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 1st St S, Reform, AL 35481 Phone: 205-375-2959 Fax: 205-469-8014 |