Sec Clinical Research, LLC

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

SEC CLINICAL RESEARCH, LLC

Practice address

822 S Three Notch St Ste B
Andalusia, AL 36420-5310

Phone

(334) 504-7014

Fax

(334) 222-3553

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Garver, MD

Title

Site Director/Investigator

Phone

(334) 504-7014

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Lynn Mackay, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1104577196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1659022572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "334-504-7014",
            "fax_number": "334-222-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "334-504-7014",
            "fax_number": "334-222-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Graceland Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363057376",
            "country_code": "US",
            "telephone_number": "334-699-1632",
            "fax_number": "334-699-1531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 W Mallory St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016321",
            "country_code": "US",
            "telephone_number": "850-696-7148",
            "fax_number": "850-308-7029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 Ross Clark Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363033038",
            "country_code": "US",
            "telephone_number": "334-699-1631",
            "fax_number": "334-699-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEC CLINICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "GARVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SITE DIRECTOR/INVESTIGATOR",
        "authorized_official_telephone_number": "334-504-7014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Ryce, NURSE PRACTITIONER
• Joelle Sage
• Michelle Sanford, RBT
• Joanne M Santos, LGSW
• Amber Bryant Seay, PHARM D
• Sec Lung LLC
• Kirby S Sewell, RN
• Destene Nikkie'Le Shakespeare
• Mary E. Shellhouse, CRNP
• Sheridan Anesthesia Services of Alabama, Inc.

• Research Clinic/Center in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Research Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.