Healogics Specialty Physicians of Alabama, LLC
Organization Active NPI Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Alexander City, AL
NPI 1992189443 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1992189443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X
- Legal business name
- HEALOGICS SPECIALTY PHYSICIANS OF ALABAMA, LLC
- Practice address
- 55 Alison Dr
Alexander City, AL 35010-4409 - Phone
- (256) 215-7450
- Fax
- (256) 215-7451
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Frank Williams
- Title
- Ceo
- Phone
- (904) 446-3519
Practitioners 25
-
Joshua Blake Camp, FNP-C
-
Terisa Ann Thomas, M.D.
-
Lindsey Harrison Tullis, CRNP
-
Diane C Winters, MD
-
Christine Ann Dickson, ARNP
-
Tanya Haley McGee, AGACNP-BC
-
Basel Alrefai, MD
-
Katelyn Ducker, DO
-
James Victor Hamilton II, M.D.
-
Robert L Hash II, M.D.
-
Timothy M. Howard, M.D.
-
Marla M. Lambert, M.D.
-
Lindsay Paige Love, APRN, FNP-C
-
Jarred L Sartain, M.D.
-
Joshua Marshall Smith, CRNP
-
Mario Gardner, APRN
-
Heather Renee Schuster, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160705001655 | AL | Part B Supplier - Clinic/Group Practice | 0749572147 |
Receives reassigned benefits from 25 practitioners Practice locations: Winfield, AL; Sylacauga, AL; Mobile, AL; Gadsden, AL; Huntsville, AL; Alexander City, AL |
National Provider Directory
Locations
829 Riverbend Dr
Gadsden, AL 35901
Phone (256) 328-4482
2012 Whitesburg Dr SW
Huntsville, AL 35801
Phone (256) 265-3052
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
2083P0011X | Yes | ||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
55 Alison Dr
Alexander City, AL 35010-4409
Mailing address
5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018
Phone (904) 446-3451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179100 | Medicaid | AL |
Other providers in Alexander City, AL
- George William Hardy
- William Edward Harrell Jr.
- Kayla Woodruff Hawkins
- Robert Lamar Haynie
- Healing Hearts Professional Counseling
- Health Management Resources -- Governmental Services, Inc.
- Healthstat Onsite Clinic Parkdale Plant 39
- Heritage Pediatrics LLC
- Edward Polk Hill IV
- Benjamin Tate Hinkle
All providers in Alexander City, AL · Undersea and Hyperbaric Medicine (Preventive 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 Jun 1, 2023. 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.