Go Medical Corporation PC
Organization Active NPI Internal Medicine Physician · Boaz, AL
NPI 1073027876 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1073027876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- GO MEDICAL CORPORATION PC
- Practice address
- 603B Medical Center Pkwy
Boaz, AL 35957-5937 - Phone
- (256) 558-6000
- Fax
- (256) 907-9222
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Rommel C Go, MD
- Title
- Medical Director
- Phone
- (256) 558-6000
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 16
-
Aracely Alvarez, MSN, FNP-C
-
Matilde Vinoya Dela Cruz, CRNP
-
Jennifer Giddens, FNP-C, PMHNP-BC
-
Rommel C Go, M.D.
-
Gayle L Lombard Jr., CRNP
-
Casey Long, M.D.
-
Niccole Lynne McDaniel, MSN,ACNP
-
Angela Aurora Cunningham, NP-C
-
Larry R Johnston, M.D.
-
Maria Gloria Rabin-Go, M.D.
-
Thomas Savage, M.D.
-
Katie Elise Sewell, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180514001122 | AL | Part B Supplier - Clinic/Group Practice | 0648534982 |
Receives reassigned benefits from 16 practitioners Practice locations: Boaz, AL |
National Provider Directory
- Tax ID family
- Go Medical Corporation PC
Locations
603 Medical Center Pkwy
Boaz, AL 35957
Phone (256) 558-6000
15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
603B Medical Center Pkwy
Boaz, AL 35957-5937
Mailing address
603 Medical Center Pkwy
Boaz, AL 35957-5937
Phone (256) 558-6000
Other names
- Go Medical
Other providers in Boaz, AL
- Enrico D Gaspar
- Kelsey Tucker Geer
- Kevin Geiger
- Jennifer Giddens
- Corey Gilliland
- Go Medical Corporation PC
- Rommel C Go
- Larry Wayne Greer
- Amye Willis Groves
- Christopher Gray Gulledge
All providers in Boaz, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.