Cherokee County Physicians, LLC
Organization Active NPI Emergency Medicine Physician · Centre, AL
NPI 1760958680 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1760958680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CHEROKEE COUNTY PHYSICIANS, LLC
- Practice address
- 400 Northwood Dr
Centre, AL 35960-1023 - Phone
- (256) 927-5531
- NPI assigned
- Oct 18, 2018
- Organization subpart
- No
Authorized official
- Name
- Kim H Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Practitioners 52
-
Kenneth Elisha Conn, CRNP
-
Eric Eugene Melancon, M.D.
-
Emily Beth Oliver, CRNP
-
Tony Arland White, M.D.
-
Kim Carlos Farmer, FNP
-
John Kevin Hardwell, M.D.
-
Brian A Horton, NP
-
Patrick Jay Lynn, MD
-
Catherine Martin, M.D.
-
Jill G Pottinger, M.D.
-
Zachary Wood, DO
-
Tasha Cobb Adkison, CRNP
-
Connie Leigh Geimer, ACNP
-
Radwan Mallah, MD
-
Jeffrey Milner, PHD, MD
-
Deborah Trujillo, MD
-
Robert H Williams, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190131001218 | AL | Part B Supplier - Clinic/Group Practice | 3173860087 |
Receives reassigned benefits from 51 practitioners Practice locations: Centre, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
400 Northwood Dr
Centre, AL 35960-1023
Mailing address
PO Box 24330
Belfast, ME 04915-4494
Phone (770) 874-5400
Other providers in Centre, AL
- Cherokee County Health Dept Pat 1St CM
- Cherokee County Health Dept Prev Health Ed
- Cherokee County Health Dept Pri Care
- Cherokee County Health Dept STD
- Cherokee County Health Dept VFC Immun
- Cherokee Emergency Medical Services Inc
- Cherokee Eye Clinic Co, Inc
- Cherokee Eye Clinic, P.C.
- Cherokee Family Healthcare, LLC
- Cherokee Pain Management LLC
All providers in Centre, AL · Emergency 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 Feb 5, 2020. 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.