LV Stabler Primary Care LLC
Organization Active NPI Surgery Physician · Greenville, AL
NPI 1871003533 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1871003533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- LV STABLER PRIMARY CARE LLC
- Practice address
- 300 N College St
Greenville, AL 36037-2025 - Phone
- (334) 382-2681
- NPI assigned
- Oct 9, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Authorized official
- Name
- Amanda Salter
- Title
- Director
- Phone
- (334) 371-5025
Member of 1
Practitioners 31
-
Manu Kaushik, MD
-
Kanu J Patel, MD
-
Ashok Runkana, MD
-
Brittany Sheffield, CRNP
-
Brandon Blake Slagley, M.D.
-
Melinda Faye Gibson, CRNP
-
Cecelia Camblin Hermann, M.D.
-
Gilbert Richard Holland, M.D.
-
Ashley Nicole Huggins, CRNP
-
Pamela Ingram, FNP-C
-
Jaisingh Rajput, M.D.
-
Gary Meade Richardson, M.D.
-
Nicole M Seale, CRNP
-
John A Williams, M.D.
-
Bridget Dione Wilson, FNP-C
-
Amrita Yearwood, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180124002028 | AL | Part B Supplier - Clinic/Group Practice | 7719246586 |
Receives reassigned benefits from 26 practitioners Practice locations: Greenville, AL; Luverne, AL |
National Provider Directory
- Part of
- Ivy Creek of Butler LLC
Locations
101 Church St
Georgiana, AL 36033
Phone (334) 376-0380
45 Medical Arts Ct
Ste 23
Greenville, AL 36037
Phone (334) 382-1632
45 Medical Arts Ct
Ste 4
Greenville, AL 36037
Phone (334) 376-2271
45 Medical Arts Ct
Ste 2
Greenville, AL 36037
Phone (334) 382-1632
2544 Enterprise Dr
Opelika, AL 36801
Phone (334) 528-9050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Pediatrics Physician |
208000000X | |||
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
300 N College St
Greenville, AL 36037-2025
Mailing address
29 L V Stabler Dr
Greenville, AL 36037-3850
Other practice location 1
45 Medical Arts Ct Ste 3
Greenville, AL 36037-3872
Phone (334) 382-1632
Other practice location 2
101 Church St
Georgiana, AL 36033-4268
Phone (334) 376-0380
Other names
- Regional Medical Center Clinics
Other providers in Greenville, AL
- Sheldon R. Kushner
- Lakshmikantha Kumbla MD
- Donald Fredrick Lindstrom Jr.
- Louis Ladon Snellgrove
- LV Stabler Primary Care LLC
- M'Jestik Transportation
- Robert F Martin Jr.
- Wayne L. Martin
- Marvin M Hewlett Jr DDS PC
- Erika Mashburn
All providers in Greenville, AL · Surgery 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 Aug 3, 2022. 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.