DECATUR INTERNAL MEDICINE CENTER, P.C. (NPI# 1043246432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043246432 |
| Entity Type | Organization |
| Organization Name | DECATUR INTERNAL MEDICINE CENTER, P.C. |
| Practice Address |
2506 Danville Rd Sw Suite 101 Decatur AL 35603-4232 |
| Mailing Address |
Po Box 870 Cullman AL 35056-0870 |
| Practice Telephone | 2563506363 |
| Practice Fax Number | 2563506855 |
| Mailing Telephone | 2567750432 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DR. KIRK LEE JACKSON (PRESIDENT) |
| Authorized Official Telephone | 2563506363 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | DG3025 | 01 |
| Street Address |
2506 DANVILLE RD SW SUITE 101 |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676467 | Benjamin Stanley Stachowiak | Specialist/Technologist | 2506 Danville Rd Sw, Decatur, AL 35603-4232 | 2017-08-30 |
| 1740536473 | Christopher D Hornbuckle | Physical Therapist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2012-07-31 |
| 1609166172 | Joshua A Davis | Physical Therapist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2011-04-18 |
| 1386944239 | Valley Pain Clinic LLC | Anesthesiology | 2506 Danville Rd Sw, Suite 206, Decatur, AL 35603-4232 | 2010-10-26 |
| 1376783605 | Leslie Segars Barbee | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2009-02-26 |
| 1710137856 | Suzanna F Bailey | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-09-25 |
| 1154593879 | Cristine K Pyle | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-04-02 |
| 1568631307 | Patricia Lang Jenkins | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-02-26 |
| 1477674679 | James Richard Throneberry | Dentist | 2506 Danville Rd Sw, Ste. 104, Decatur, AL 35603-4232 | 2007-04-03 |
| 1841325891 | Encore Rehabiliation Inc | Clinic/Center | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205481736 | Northside Nama Professional Services, LLC | Internal Medicine | 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 | 2019-08-01 |
| 1235632282 | Integrated Health and Wellness, LLC | Internal Medicine | 4150 Snapfinger Woods Dr Ste 200, Decatur, GA 30035-3417 | 2018-03-16 |
| 1619487428 | William Charles Levine | Internal Medicine | 2488 Pangborn Cir, Decatur, GA 30033-1341 | 2017-10-06 |
| 1730603267 | Snapcare Clinic | Internal Medicine | 5071 Snapfinger Woods Dr, Decatur, GA 30035-4019 | 2017-07-26 |
| 1629520515 | Daniel Feikin | Internal Medicine | 1726 Oakview Rd, Decatur, GA 30030-4235 | 2016-10-26 |
| 1699168237 | Valley Internal Medicine and Pediatrics | Internal Medicine | 2506 Danville Rd Sw # B, Decatur, AL 35603-4232 | 2015-03-06 |
| 1740691120 | Sandra J. Valenciano | Internal Medicine | 445 Winn Way Ste 527, Decatur, GA 30030-1707 | 2014-05-19 |
| 1376964593 | Naomi Bock | Internal Medicine | 335 W Ponce De Leon Ave Unit 501, Decatur, GA 30030-2456 | 2013-12-16 |
| 1548693641 | Timothy P. Weirich, M.d., P.C. | Internal Medicine | 3505 Pinehurst Dr Sw, Decatur, AL 35603-1259 | 2013-08-13 |
| 1154760577 | Michael William Smith | Internal Medicine | 2434 Vivian Cir, Decatur, GA 30030-1592 | 2013-06-19 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.