| Tanner Primary Care Of Roanoke Inc | |
|
965 Highway 431 Roanoke AL 36274-7329 | |
| (334) 863-2141 | |
| (334) 863-8733 |
| Full Name | Tanner Primary Care Of Roanoke Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 965 Highway 431, Roanoke, Alabama |
| Authorized Official Name and Position | Clint Hoffman (SR VP) |
| Authorized Official Contact | 7708388302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Primary Care Of Roanoke Inc 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8710 | Tanner Primary Care Of Roanoke Inc 965 Highway 431 Roanoke AL 36274-7329 Ph: (334) 863-2141 |
| NPI Number | 1255899092 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 1153663091 |
|---|---|
| Medicare Enrollment ID | O20190425001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255899092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michael T Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194748731 PECOS PAC ID: 0446155022 Enrollment ID: I20031205000497 |
| Provider Name | April D Harrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730100553 PECOS PAC ID: 5698704997 Enrollment ID: I20050808000258 |
| Provider Name | Russell Doak Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144322504 PECOS PAC ID: 1153348651 Enrollment ID: I20100809000361 |
| Provider Name | Helen Scharko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437588019 PECOS PAC ID: 9032493523 Enrollment ID: I20170301001146 |
Mitchell C. Shirah M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59664 Highway 22, Roanoke, AL 36274 Phone: 334-863-8951 Fax: 334-863-2361 | |
Southern Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Medical Dr, Suite 7, Roanoke, AL 36274 Phone: 334-863-2311 Fax: 334-863-5596 | |
J Melburn D Holmes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Medical Dr, Ste 7, Roanoke, AL 36274 Phone: 334-863-5262 Fax: 334-863-5264 | |
Roanoke Rural Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Price St, Roanoke, AL 36274 Phone: 334-863-3229 Fax: 334-863-5596 | |
Roanoke Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 469 Price St, Roanoke, AL 36274 Phone: 334-863-2311 Fax: 334-863-5596 | |
Randolph Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 Us Hwy 431, Roanoke, AL 36274 Phone: 334-863-2141 Fax: 334-863-8733 |