| Southview Medical Clinic Llc | |
|
307 Main St Sw Hanceville AL 35077-5476 | |
| (256) 352-4767 | |
| (256) 352-4797 |
| Full Name | Southview Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Main St Sw, Hanceville, Alabama |
| Authorized Official Name and Position | Muhammad Ejaz Ata (OWNER) |
| Authorized Official Contact | 2564511250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southview Medical Clinic Llc 307 Main St Sw Hanceville AL 35077-5476 Ph: (256) 352-4767 | Southview Medical Clinic Llc 307 Main St Sw Hanceville AL 35077-5476 Ph: (256) 352-4767 |
| NPI Number | 1033554357 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 07/16/2021 |
| Medicare PECOS PAC ID | 7315188281 |
|---|---|
| Medicare Enrollment ID | O20130719000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033554357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cassie Williams Luke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982622577 PECOS PAC ID: 3577459304 Enrollment ID: I20040226001060 |
| Provider Name | Eileen M Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093702326 PECOS PAC ID: 8123058666 Enrollment ID: I20050815001027 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Desiree A Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104078468 PECOS PAC ID: 6709945348 Enrollment ID: I20081111000516 |
| Provider Name | Felix R Dulanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043479124 PECOS PAC ID: 5092861864 Enrollment ID: I20090918000505 |
| Provider Name | John E Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275831703 PECOS PAC ID: 2961686654 Enrollment ID: I20110404000709 |
| Provider Name | Berenice C Serpas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154676302 PECOS PAC ID: 9830330885 Enrollment ID: I20130802000387 |
| Provider Name | Ashley Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792816 PECOS PAC ID: 9537484985 Enrollment ID: I20150206001479 |
| Provider Name | Mandy S Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154729085 PECOS PAC ID: 6103144209 Enrollment ID: I20150422001194 |
| Provider Name | Torri Selvage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760856926 PECOS PAC ID: 8628379468 Enrollment ID: I20151221000137 |
| Provider Name | Melinda Sutton-griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323452 PECOS PAC ID: 7517250152 Enrollment ID: I20160720001082 |
| Provider Name | Sean K Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689123051 PECOS PAC ID: 1951680578 Enrollment ID: I20161122000661 |
| Provider Name | Ashley Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902324338 PECOS PAC ID: 2163766593 Enrollment ID: I20181211003483 |
| Provider Name | Hansel Noffsinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801802863 PECOS PAC ID: 6305900077 Enrollment ID: I20191018002595 |
| Provider Name | Rhonda Lee Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255893889 PECOS PAC ID: 8527490317 Enrollment ID: I20191115002914 |
| Provider Name | Zachary Blake Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021093 PECOS PAC ID: 4981010402 Enrollment ID: I20210309000719 |
| Provider Name | Muhammad Omair Ahsan Ata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942763362 PECOS PAC ID: 2668728932 Enrollment ID: I20210428000653 |
| Provider Name | Marty Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639130248 PECOS PAC ID: 9234315847 Enrollment ID: I20211109002569 |
| Provider Name | Carl Bronitsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487618658 PECOS PAC ID: 0749221539 Enrollment ID: I20240123000379 |
| Provider Name | Karen Sharee Twilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972352714 PECOS PAC ID: 6800320706 Enrollment ID: I20241114003736 |
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Hanceville Primary Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Main St Nw, Hanceville, AL 35077 Phone: 256-887-1751 | |
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