Premier Medical Clinic Llc - Medicare Primary Care in Scottsboro, AL

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Premier Medical Clinic Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Scottsboro, Alabama. The current practice location for Premier Medical Clinic Llc is 503 Burlington Street, Scottsboro, Alabama. For appointments, you can reach them via phone at (256) 259-1886. The mailing address for Premier Medical Clinic Llc is Po Box 56, Scottsboro, Alabama and phone number is (256) 259-1886.

Premier Medical Clinic Llc is licensed to practice in Alabama (license number ). The clinic also participates in the medicare program and its NPI number is 1083955173. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (256) 259-1886.

Contact Information

Premier Medical Clinic Llc
503 Burlington Street
Scottsboro
AL 35768
(256) 259-1886
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePremier Medical Clinic Llc
SpecialityClinic/Center
Location503 Burlington Street, Scottsboro, Alabama
Authorized Official Name and PositionMuhammad Ata (OWNER)
Authorized Official Contact2564511250
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1083955173
Provider Enumeration Date03/14/2013
Last Update Date03/14/2013

Medicare PECOS Information:

Medicare PECOS PAC ID7012155609
Medicare Enrollment IDO20130520000728

Medical Identifiers

Medical identifiers for Premier Medical Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083955173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Premier Medical Clinic Llc acts as a billing entity for following providers:
Provider NameSusan M Gibson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720194087
PECOS PAC ID: 7214923911
Enrollment ID: I20040420001360
Provider NameCarolyn Brewer Stiefel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609891456
PECOS PAC ID: 3779583406
Enrollment ID: I20070103000337
Provider NameCesar E Munoz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255432027
PECOS PAC ID: 7719067271
Enrollment ID: I20080109000592
Provider NameJanna K Culpepper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093866337
PECOS PAC ID: 0840353942
Enrollment ID: I20090115000689
Provider NameMuhammad Ata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023112307
PECOS PAC ID: 5294631750
Enrollment ID: I20090429000389
Provider NameCathy Annette Olinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184764912
PECOS PAC ID: 1951368828
Enrollment ID: I20090430000097
Provider NameKimberly K Crow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710120969
PECOS PAC ID: 6901956796
Enrollment ID: I20090617000344
Provider NameJohn E Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275831703
PECOS PAC ID: 2961686654
Enrollment ID: I20110404000709
Provider NameKhizer Ahmad
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689635161
PECOS PAC ID: 9739317637
Enrollment ID: I20140123001163
Provider NameJawahar Reddy Gazzala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033373238
PECOS PAC ID: 3173830726
Enrollment ID: I20150915002872
Provider NameRachelle A Key
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508211509
PECOS PAC ID: 8022301068
Enrollment ID: I20160727003105
Provider NameAnand Shanker Balachandran
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003187642
PECOS PAC ID: 4486948973
Enrollment ID: I20160805001323
Provider NameSean K Riggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689123051
PECOS PAC ID: 1951680578
Enrollment ID: I20161122000661
Provider NameRhonda B Graham
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053659367
PECOS PAC ID: 4385915578
Enrollment ID: I20170807001403
Provider NameJosiah Keaton Aldrup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184165748
PECOS PAC ID: 4587939350
Enrollment ID: I20171004000904
Provider NameMuhammad Omair Ahsan Ata
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942763362
PECOS PAC ID: 2668728932
Enrollment ID: I20210428000653
Provider NameBethany Lynne Johnson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841859287
PECOS PAC ID: 0244662195
Enrollment ID: I20220411000542
Provider NameAmber Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134670144
PECOS PAC ID: 0547647455
Enrollment ID: I20220516001160

Reviews and Comments


Clinic/Center in Scottsboro, AL

Scottsboro Medical Clinic
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Phone: 256-574-6157    Fax: 256-259-0560
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Phone: 256-218-3856    Fax: 256-218-3536
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Valley Medical Clinic Llc
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Practice Location: 331 Parks Ave, Scottsboro, AL 35768
Phone: 256-451-1250    Fax: 256-451-1270
Northeast Alabama Health Services Inc- Skyline
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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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.