| Premier Medical Clinic Llc | |
|
503 Burlington Street Scottsboro AL 35768 | |
| (256) 259-1886 | |
| Not Available |
| Full Name | Premier Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 503 Burlington Street, Scottsboro, Alabama |
| Authorized Official Name and Position | Muhammad Ata (OWNER) |
| Authorized Official Contact | 2564511250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Clinic Llc Po Box 56 Scottsboro AL 35768 Ph: (256) 259-1886 | Premier Medical Clinic Llc 503 Burlington Street Scottsboro AL 35768 Ph: (256) 259-1886 |
| NPI Number | 1083955173 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 07/14/2025 |
| Medicare PECOS PAC ID | 7012155609 |
|---|---|
| Medicare Enrollment ID | O20130520000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083955173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Alabama) | Primary |
| Provider Name | Susan M Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720194087 PECOS PAC ID: 7214923911 Enrollment ID: I20040420001360 |
| Provider Name | Carolyn Brewer Stiefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609891456 PECOS PAC ID: 3779583406 Enrollment ID: I20070103000337 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Janna K Culpepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093866337 PECOS PAC ID: 0840353942 Enrollment ID: I20090115000689 |
| Provider Name | Muhammad Ata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023112307 PECOS PAC ID: 5294631750 Enrollment ID: I20090429000389 |
| Provider Name | Cathy Annette Olinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184764912 PECOS PAC ID: 1951368828 Enrollment ID: I20090430000097 |
| Provider Name | Kimberly K Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710120969 PECOS PAC ID: 6901956796 Enrollment ID: I20090617000344 |
| Provider Name | Felix R Dulanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043479124 PECOS PAC ID: 5092861864 Enrollment ID: I20090918000505 |
| Provider Name | John E Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275831703 PECOS PAC ID: 2961686654 Enrollment ID: I20110404000709 |
| Provider Name | Khizer Ahmad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689635161 PECOS PAC ID: 9739317637 Enrollment ID: I20140123001163 |
| Provider Name | Jawahar Reddy Gazzala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033373238 PECOS PAC ID: 3173830726 Enrollment ID: I20150915002872 |
| Provider Name | Rachelle A Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508211509 PECOS PAC ID: 8022301068 Enrollment ID: I20160727003105 |
| Provider Name | Anand Shanker Balachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003187642 PECOS PAC ID: 4486948973 Enrollment ID: I20160805001323 |
| Provider Name | Sean K Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689123051 PECOS PAC ID: 1951680578 Enrollment ID: I20161122000661 |
| Provider Name | Rhonda B Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053659367 PECOS PAC ID: 4385915578 Enrollment ID: I20170807001403 |
| Provider Name | Josiah Keaton Aldrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184165748 PECOS PAC ID: 4587939350 Enrollment ID: I20171004000904 |
| Provider Name | Muhammad Omair Ahsan Ata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942763362 PECOS PAC ID: 2668728932 Enrollment ID: I20210428000653 |
| Provider Name | Bethany Lynne Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841859287 PECOS PAC ID: 0244662195 Enrollment ID: I20220411000542 |
| Provider Name | Amber Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670144 PECOS PAC ID: 0547647455 Enrollment ID: I20220516001160 |
Muhammad Ejaz Ata Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Harley St, Scottsboro Medical Clinic, Scottsboro, AL 35768 Phone: 256-574-6157 Fax: 256-259-0560 | |
Highlands Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 Harley St, Scottsboro, AL 35768 Phone: 256-218-3856 Fax: 256-218-3536 | |
Hh Health System - Jackson Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 S Broad St Ste A, Scottsboro, AL 35768 Phone: 256-218-3230 Fax: 256-218-3249 | |
Valley Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Parks Ave, Scottsboro, AL 35768 Phone: 256-451-1250 Fax: 256-451-1270 | |
Northeast Alabama Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21680 Al Highway 79, Scottsboro, AL 35768 Phone: 256-587-3050 Fax: 256-587-5243 | |
Larry T. Bolton, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Parks Ave, Scottsboro, AL 35768 Phone: 256-574-3623 Fax: 256-574-6223 |