| Prime Med | |
|
1970 Andrews Ave Ozark AL 36360-3726 | |
| (334) 774-1555 | |
| Not Available |
| Full Name | Prime Med |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1970 Andrews Ave, Ozark, Alabama |
| Authorized Official Name and Position | Nancy a Gilley (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3347121170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Med 2812 Hartford Hwy Ste 1 Dothan AL 36305-4927 Ph: (334) 712-1170 | Prime Med 1970 Andrews Ave Ozark AL 36360-3726 Ph: (334) 774-1555 |
| NPI Number | 1740358837 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 10/28/2026 |
| Certification Date | 10/28/2026 |
| Medicare PECOS PAC ID | 5698714525 |
|---|---|
| Medicare Enrollment ID | O20050428001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740358837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Jeffrey T Norris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902801517 PECOS PAC ID: 0143129064 Enrollment ID: I20040108000593 |
| Provider Name | Shakir R Meghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407872948 PECOS PAC ID: 2961391404 Enrollment ID: I20040312000947 |
| Provider Name | Clifford C Quintana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366470122 PECOS PAC ID: 1254363724 Enrollment ID: I20050906000492 |
| Provider Name | Michael J Mcmanus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326056219 PECOS PAC ID: 6002825080 Enrollment ID: I20060419000681 |
| Provider Name | Travis L Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831333830 PECOS PAC ID: 7911053152 Enrollment ID: I20090914000284 |
| Provider Name | Kenneth E Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598732521 PECOS PAC ID: 7911036157 Enrollment ID: I20100526000241 |
| Provider Name | Farrukh S. Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932249885 PECOS PAC ID: 2264320860 Enrollment ID: I20120829000640 |
| Provider Name | Kenneth Ethan Lai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376893974 PECOS PAC ID: 8325266489 Enrollment ID: I20151116000679 |
| Provider Name | Rahel Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902354277 PECOS PAC ID: 7810273976 Enrollment ID: I20170404002575 |
| Provider Name | Hannah Bryant Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568224525 PECOS PAC ID: 3476990961 Enrollment ID: I20240320000145 |
| Provider Name | Elizabeth A. Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104518596 PECOS PAC ID: 4880032416 Enrollment ID: I20240402002654 |
| Provider Name | Madylan Shayne Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588322994 PECOS PAC ID: 2466893292 Enrollment ID: I20240510002729 |
| Provider Name | Vinitaben Chaudhari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750115010 PECOS PAC ID: 5294261814 Enrollment ID: I20241205004251 |
| Provider Name | Mughis Ahmed Sheerani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265239008 PECOS PAC ID: 8224556477 Enrollment ID: I20250520004787 |
South Union Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 South Union Ave, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237 |
Magnolia Premier Health, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 N Court Sq Ste 2, Ozark, AL 36360 Phone: 334-464-8100 Fax: 334-323-7779 |
T Lee Thompson, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Hospital Ave, Ste B, Ozark, AL 36360 Phone: 334-774-3000 Fax: 334-774-3010 |
Dale Medical Center Profee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Hospital Ave, Ozark, AL 36360 Phone: 334-774-2601 Fax: 334-443-0131 |
Claybank Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-774-7610 Fax: 334-774-7251 |
Ozark Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Hospital Ave Ste B, Ozark, AL 36360 Phone: 334-445-4803 Fax: 334-445-4654 |