Aubrey Marie Coleman, MD
Individual provider Active NPI Pediatrics Physician · Eufaula, AL
NPI 1972090033 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1972090033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 38601 (AL)
- Practice address
- 323 E Barbour St
Eufaula, AL 36027-1603 - Phone
- (334) 619-0940
- Fax
- (334) 689-5200
- NPI assigned
- Apr 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601001551 | AL | Practitioner - Pediatric Medicine | 4587063102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan Pediatric Clinic, P. a. | Pediatrics | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients | |
| Associated Pediatricians, LLC | Past | Accepting new patients | |
| Associated Pediatricians, LLC | Pediatrics | Past | Accepting new patients |
Locations
126 Clinic Dr
Dothan, AL 36303
Phone (334) 791-1881
323 E Barbour St
Eufaula, AL 36027
Phone (334) 619-0940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38601 | AL | Yes |
Addresses
Primary practice location
323 E Barbour St
Eufaula, AL 36027-1603
Mailing address
126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881
Other practice location 1
126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264676 | Medicaid | AL | |
| 110571500 | Medicaid | FL | |
| 003250069B | Medicaid | GA |
Other names
- Aubrey Marie Thyen
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aubreycoleman@dpc.allscriptsdirect.net |
Other providers in Eufaula, AL
- Melissa Marie Chovan
- City of Eufaula Rescue Squad
- Christopher E Clark
- Mary Frances Clark
- Haley Clements
- Alan D Compton
- Covenant Rehabilitation, LLC
- Tiffany Mechelle Crouch
- Crowne Health Care of Eufaula, LLC
- Brianna Chantal Culver
All providers in Eufaula, AL · Pediatrics 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 Jul 13, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.