| Alabama Providence Healthcare Services | |
|
6701 Airport Blvd Suite A101 Mobile AL 36608-6705 | |
| (251) 342-3949 | |
| (251) 631-3361 |
| Full Name | Alabama Providence Healthcare Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 6701 Airport Blvd, Mobile, Alabama |
| Authorized Official Name and Position | Todd S. Kennedy (PRESIDENT) |
| Authorized Official Contact | 2516331660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Providence Healthcare Services Po Box 850489 Mobile AL 36685-0489 Ph: (251) 342-3949 | Alabama Providence Healthcare Services 6701 Airport Blvd Suite A101 Mobile AL 36608-6705 Ph: (251) 342-3949 |
| NPI Number | 1245669514 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 09/28/2015 |
| Medicare PECOS PAC ID | 9638308430 |
|---|---|
| Medicare Enrollment ID | O20140127000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245669514 | NPI | - | NPPES |
| Provider Name | Alan J Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952315343 PECOS PAC ID: 2365422789 Enrollment ID: I20040724000203 |
| Provider Name | Alaina E Amato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790702595 PECOS PAC ID: 2163458035 Enrollment ID: I20050712000711 |
| Provider Name | Ross B Del Fierro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760406276 PECOS PAC ID: 4789673518 Enrollment ID: I20050802000569 |
| Provider Name | Terry P Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639186596 PECOS PAC ID: 8628009784 Enrollment ID: I20050829000328 |
| Provider Name | Lynn H Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508874751 PECOS PAC ID: 3870524952 Enrollment ID: I20050829000548 |
| Provider Name | Carmen G May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043264294 PECOS PAC ID: 5799704201 Enrollment ID: I20051114001166 |
| Provider Name | Neelam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021435 PECOS PAC ID: 0547274433 Enrollment ID: I20060131000119 |
| Provider Name | Joel P Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578503496 PECOS PAC ID: 3779590732 Enrollment ID: I20060315000724 |
| Provider Name | Melville J Sternberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440604 PECOS PAC ID: 9436161858 Enrollment ID: I20060628000212 |
| Provider Name | Ijaz M Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962451971 PECOS PAC ID: 8224033766 Enrollment ID: I20060915000509 |
| Provider Name | Karen L Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659395341 PECOS PAC ID: 6901808765 Enrollment ID: I20070207000171 |
| Provider Name | Vimla Praveni Devi Bhagwandin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467632521 PECOS PAC ID: 5698857746 Enrollment ID: I20080128000611 |
| Provider Name | Brenda L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487677068 PECOS PAC ID: 1052495710 Enrollment ID: I20080220000224 |
| Provider Name | Clyde R Varner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316931256 PECOS PAC ID: 3870521784 Enrollment ID: I20080303000073 |
| Provider Name | Shameer B Abrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255525945 PECOS PAC ID: 1850478678 Enrollment ID: I20080403000347 |
| Provider Name | David H Macrae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952325466 PECOS PAC ID: 4183777907 Enrollment ID: I20090727000586 |
| Provider Name | James L Ruble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346256260 PECOS PAC ID: 9931254000 Enrollment ID: I20090826000501 |
| Provider Name | Lee E Eslava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639125602 PECOS PAC ID: 3274689526 Enrollment ID: I20090929000076 |
| Provider Name | Sarah E Joiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568543767 PECOS PAC ID: 5597801068 Enrollment ID: I20091014000273 |
| Provider Name | Charles E Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285675835 PECOS PAC ID: 3971508854 Enrollment ID: I20100405000317 |
| Provider Name | Lawrence J Parker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629008123 PECOS PAC ID: 1557261484 Enrollment ID: I20100408000054 |
| Provider Name | William L Case |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235161498 PECOS PAC ID: 6608871587 Enrollment ID: I20100408000162 |
| Provider Name | Marla Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508872557 PECOS PAC ID: 6406987122 Enrollment ID: I20100624000552 |
| Provider Name | Thomas A Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376559310 PECOS PAC ID: 0941331417 Enrollment ID: I20100628000122 |
| Provider Name | Monica T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871810812 PECOS PAC ID: 8022149509 Enrollment ID: I20100628000265 |
| Provider Name | Robert Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841204443 PECOS PAC ID: 2264519396 Enrollment ID: I20100709000657 |
| Provider Name | Billy August |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659326932 PECOS PAC ID: 9739212994 Enrollment ID: I20100809000790 |
| Provider Name | Victor S Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790724458 PECOS PAC ID: 2466586656 Enrollment ID: I20100810000231 |
| Provider Name | Tetyana G Falkenberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710152582 PECOS PAC ID: 1052486008 Enrollment ID: I20100826001041 |
| Provider Name | Eric C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902812803 PECOS PAC ID: 3678697109 Enrollment ID: I20100903000801 |
| Provider Name | Stephen A Kahalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255345369 PECOS PAC ID: 2466577788 Enrollment ID: I20100909001171 |
| Provider Name | Kathleen Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134133150 PECOS PAC ID: 6800088071 Enrollment ID: I20101006000317 |
| Provider Name | Robert Elmo Willett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760463756 PECOS PAC ID: 5496940421 Enrollment ID: I20101116000420 |
| Provider Name | Dana M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619289915 PECOS PAC ID: 0547456808 Enrollment ID: I20101129000395 |
| Provider Name | Mohammad Alsharabati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174748180 PECOS PAC ID: 0749339539 Enrollment ID: I20101228000673 |
| Provider Name | William Stephen Denson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760495907 PECOS PAC ID: 2769671270 Enrollment ID: I20110121000092 |
| Provider Name | Nicole M Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780981159 PECOS PAC ID: 1850574120 Enrollment ID: I20110323000869 |
| Provider Name | Tami L Dunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801192851 PECOS PAC ID: 2062695158 Enrollment ID: I20110328000458 |
| Provider Name | Kimberly Donnellan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376762815 PECOS PAC ID: 1052435781 Enrollment ID: I20110727000043 |
| Provider Name | John S Keebler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326194358 PECOS PAC ID: 1759559263 Enrollment ID: I20110727000210 |
| Provider Name | James F Benson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497862353 PECOS PAC ID: 7618978313 Enrollment ID: I20110809000333 |
| Provider Name | Amit Pant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285880799 PECOS PAC ID: 2264601897 Enrollment ID: I20110816000239 |
| Provider Name | Amy Woodward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427218759 PECOS PAC ID: 1951571355 Enrollment ID: I20110822000471 |
| Provider Name | Ernest G Burch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477518926 PECOS PAC ID: 0941217616 Enrollment ID: I20111011000161 |
| Provider Name | Vyshali M Reddy Loupe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659531440 PECOS PAC ID: 9032382569 Enrollment ID: I20111028000455 |
| Provider Name | Rocio Aleman Hilpert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730484577 PECOS PAC ID: 9032380233 Enrollment ID: I20120327000150 |
| Provider Name | Nancy Weible |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568419513 PECOS PAC ID: 6305911157 Enrollment ID: I20120626000045 |
| Provider Name | Barbara Mccormick Naman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487975710 PECOS PAC ID: 8921264862 Enrollment ID: I20120723000338 |
| Provider Name | Hari K Sivanandam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356571400 PECOS PAC ID: 4789834250 Enrollment ID: I20121017000852 |
| Provider Name | Yanming Xing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154594737 PECOS PAC ID: 1951547892 Enrollment ID: I20130726000095 |
| Provider Name | Oscar L. Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093743288 PECOS PAC ID: 9133119555 Enrollment ID: I20130726000426 |
| Provider Name | Thomas Foster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992962856 PECOS PAC ID: 5193973527 Enrollment ID: I20131030001757 |
| Provider Name | Darryl Morin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083892285 PECOS PAC ID: 9931272242 Enrollment ID: I20131231001078 |
| Provider Name | Gale Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558785980 PECOS PAC ID: 3274756770 Enrollment ID: I20140602002690 |
| Provider Name | Stephanie Dawn Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699194449 PECOS PAC ID: 4486878121 Enrollment ID: I20140619000236 |
| Provider Name | Joshua M Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599483 PECOS PAC ID: 6406071513 Enrollment ID: I20140703001400 |
| Provider Name | Preethi Reddy Marri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497918395 PECOS PAC ID: 4789855339 Enrollment ID: I20140916002468 |
| Provider Name | Erin D Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711911 PECOS PAC ID: 7517188774 Enrollment ID: I20141031002199 |
| Provider Name | Rosanne B Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821406026 PECOS PAC ID: 8123240355 Enrollment ID: I20141104000488 |
| Provider Name | Poovitha Ramasamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932487055 PECOS PAC ID: 1850530296 Enrollment ID: I20141201000791 |
| Provider Name | Lindsay Yarbrough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184935199 PECOS PAC ID: 0244469948 Enrollment ID: I20150112000904 |
| Provider Name | Robbie L Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992194989 PECOS PAC ID: 9234456328 Enrollment ID: I20150330001868 |
| Provider Name | Emilie O'brien White Hallford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427318211 PECOS PAC ID: 5890935217 Enrollment ID: I20150722006222 |
| Provider Name | Brittany L Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063770550 PECOS PAC ID: 7618116047 Enrollment ID: I20150729010018 |
| Provider Name | Nakita J Milhouse-cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881557 PECOS PAC ID: 9234439035 Enrollment ID: I20151201001062 |
| Provider Name | Robin R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194979385 PECOS PAC ID: 4486795390 Enrollment ID: I20160303001427 |
| Provider Name | Ashley Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790128429 PECOS PAC ID: 5698072015 Enrollment ID: I20160330002245 |
| Provider Name | Scott Doherty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730108093 PECOS PAC ID: 5991833865 Enrollment ID: I20160713001650 |
| Provider Name | Sara Long Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053756809 PECOS PAC ID: 5991928061 Enrollment ID: I20160812001696 |
| Provider Name | Kevin Michaels |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1568430759 PECOS PAC ID: 8820383987 Enrollment ID: I20160829001067 |
| Provider Name | Lori A Mcintosh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710956602 PECOS PAC ID: 6800890138 Enrollment ID: I20160829001843 |
| Provider Name | De'arco R Mccreary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750624508 PECOS PAC ID: 7517181092 Enrollment ID: I20160831000433 |
| Provider Name | Irfan Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346601739 PECOS PAC ID: 1951697226 Enrollment ID: I20160913001319 |
| Provider Name | Crystal L Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760748172 PECOS PAC ID: 4981991262 Enrollment ID: I20160930000388 |
| Provider Name | Anna Seay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821435207 PECOS PAC ID: 8224269253 Enrollment ID: I20161020001611 |
| Provider Name | Molly Del Santo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588923395 PECOS PAC ID: 0749428092 Enrollment ID: I20170125002053 |
| Provider Name | Rahel Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902354277 PECOS PAC ID: 7810273976 Enrollment ID: I20170404002575 |
| Provider Name | Anthony V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396157194 PECOS PAC ID: 8628391018 Enrollment ID: I20171101000824 |
| Provider Name | Rhonda Mcgrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962920298 PECOS PAC ID: 9032477047 Enrollment ID: I20171221000565 |
| Provider Name | Leah Marie Casarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720571805 PECOS PAC ID: 8921272592 Enrollment ID: I20180628001489 |
| Provider Name | Andrea Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131849 PECOS PAC ID: 2860749892 Enrollment ID: I20180723002572 |
| Provider Name | Elizabeth Schexnayder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272250 PECOS PAC ID: 8325398829 Enrollment ID: I20180904002634 |
| Provider Name | Amanda Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013414630 PECOS PAC ID: 7810247053 Enrollment ID: I20180907002635 |
| Provider Name | Lindsey Ward Beakley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396044277 PECOS PAC ID: 9931452067 Enrollment ID: I20181018003257 |
| Provider Name | Stephanie Marie Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897454 PECOS PAC ID: 4284940529 Enrollment ID: I20181022002187 |
| Provider Name | Latasha Dawn Henry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326304171 PECOS PAC ID: 9234368036 Enrollment ID: I20190202000135 |
| Provider Name | Kristen Marie Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720307416 PECOS PAC ID: 1951547421 Enrollment ID: I20190312000081 |
| Provider Name | Alexis C Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764157 PECOS PAC ID: 1850605023 Enrollment ID: I20190501003482 |
| Provider Name | Lee Anthony Dinning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770945628 PECOS PAC ID: 2163719378 Enrollment ID: I20191004000433 |
| Provider Name | Ali Riza Nazari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278829 PECOS PAC ID: 0446544696 Enrollment ID: I20191011000821 |
| Provider Name | Clay Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194201277 PECOS PAC ID: 3476890823 Enrollment ID: I20200622001705 |
| Provider Name | Yamima Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932620887 PECOS PAC ID: 5698191179 Enrollment ID: I20200813003643 |
| Provider Name | Akshaya Kambhatla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427431667 PECOS PAC ID: 6608124078 Enrollment ID: I20200908000774 |
| Provider Name | Hillary Macall Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604677 PECOS PAC ID: 5496168601 Enrollment ID: I20210107001831 |
| Provider Name | Leslie M Sharbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467059295 PECOS PAC ID: 1254744212 Enrollment ID: I20210112000895 |
| Provider Name | Paige Marion Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177545 PECOS PAC ID: 2264848142 Enrollment ID: I20210302001246 |
| Provider Name | Michelle Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427657956 PECOS PAC ID: 0941600498 Enrollment ID: I20210621001829 |
| Provider Name | Lee Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316442361 PECOS PAC ID: 5597016881 Enrollment ID: I20210709001506 |
| Provider Name | David F Schexnayder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922461763 PECOS PAC ID: 4183919152 Enrollment ID: I20210721000637 |
| Provider Name | Danuel Laan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497162309 PECOS PAC ID: 5890912604 Enrollment ID: I20210813000902 |
| Provider Name | Deanna Kinslow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710493200 PECOS PAC ID: 3173929692 Enrollment ID: I20210909000915 |
| Provider Name | Madelyn Collum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629641519 PECOS PAC ID: 7012315914 Enrollment ID: I20211007000109 |
| Provider Name | Michael Ann Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954327 PECOS PAC ID: 4183015050 Enrollment ID: I20220104000214 |
| Provider Name | Minh Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932761814 PECOS PAC ID: 5092197426 Enrollment ID: I20220802002657 |
| Provider Name | Denise Lache Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730785098 PECOS PAC ID: 4385002997 Enrollment ID: I20230614000568 |
| Provider Name | Valerie Elizabeth Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780369140 PECOS PAC ID: 7214399443 Enrollment ID: I20230818002655 |
| Provider Name | Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710084678 PECOS PAC ID: 3173525185 Enrollment ID: I20231030003028 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
University Of South Alabama Health Services Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
University Of South Alabama Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Midtown Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Bel Air Blvd Ste 9, Mobile, AL 36606 Phone: 251-533-3143 Fax: 251-650-1525 | |
Franklin Primary Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 |