| Gerald Roberts Castleberry Clinic | |
|
106 Edwina St Evergreen AL 36401-3319 | |
| (251) 578-4300 | |
| (251) 578-4307 |
| Full Name | Gerald Roberts Castleberry Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Edwina St, Evergreen, Alabama |
| Authorized Official Name and Position | James Powell (CLINIC MANAGER) |
| Authorized Official Contact | 2515784300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Roberts Castleberry Clinic 106 Edwina Street Evergreen AL 36401 Ph: (251) 578-4300 | Gerald Roberts Castleberry Clinic 106 Edwina St Evergreen AL 36401-3319 Ph: (251) 578-4300 |
| NPI Number | 1952466211 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 2365541844 |
|---|---|
| Medicare Enrollment ID | O20070625000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952466211 | NPI | - | NPPES |
| 529932932 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275565442 PECOS PAC ID: 8022117506 Enrollment ID: I20070625000235 |
| Provider Name | Jessica R Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063918118 PECOS PAC ID: 3072862812 Enrollment ID: I20180828000530 |
| Provider Name | Whitley R Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528653409 PECOS PAC ID: 3274753587 Enrollment ID: I20220825002855 |
Barnes Family Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 680 West Front St, Evergreen, AL 36401 Phone: 251-578-5111 Fax: 251-578-5991 | |
Franklin Evergreen Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Edwina St, Evergreen, AL 36401 Phone: 251-255-5830 Fax: 251-578-9985 | |
Stephen M West Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 680 West Front St, Evergreen, AL 36401 Phone: 251-578-5111 Fax: 251-578-5991 | |
Evergreen Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Edwina Street, Evergreen, AL 36401 Phone: 251-578-0278 Fax: 251-578-0290 | |
Helen Scharko, M.d. , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Edwina St, Evergreen, AL 36401 Phone: 251-578-0220 Fax: 251-578-0223 | |
Nicole M Laird Crnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Edwina St, Evergreen, AL 36401 Phone: 251-578-4300 Fax: 251-578-4307 | |
Evergreen Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 S Main St, Evergreen, AL 36401 Phone: 251-432-4117 Fax: 251-436-7765 |