| Riverside Family Medicine, P.c. | |
|
4520 Watermelon Rd Northport AL 35473-5246 | |
| (205) 752-7443 | |
| (205) 556-8868 |
| Full Name | Riverside Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4520 Watermelon Rd, Northport, Alabama |
| Authorized Official Name and Position | Sonya Chapin (OFFICE MANAGER) |
| Authorized Official Contact | 2057527445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Medicine, P.c. 4520 Watermelon Rd Northport AL 35473-5246 Ph: (205) 752-7443 | Riverside Family Medicine, P.c. 4520 Watermelon Rd Northport AL 35473-5246 Ph: (205) 752-7443 |
| NPI Number | 1669445433 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 7416974712 |
|---|---|
| Medicare Enrollment ID | O20051026000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669445433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin R Katona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215900089 PECOS PAC ID: 4981720349 Enrollment ID: I20100923000565 |
| Provider Name | Nicole Speegle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831585843 PECOS PAC ID: 9537477294 Enrollment ID: I20150929001697 |
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