MR. QUINCY ADAM LEACH (NPI# 1104301233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104301233 |
Entity Type | Individual |
Full Name | MR. QUINCY ADAM LEACH |
Credential | AGACNP |
Practice Address |
126 S Anniston Ave Sylacauga AL 35150-2904 |
Practice Telephone | 2568727777 |
Practice Fax Number | 2562490863 |
Mailing Telephone | 2568727777 |
Mailing Fax Number | 2562490863 |
Enumeration Date | 2018-09-25 |
Last Update Date | 2019-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-076889 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
315 W Hickory St, Sylacauga, AL 351502913 | 2564014000 |
Street Address |
126 S ANNISTON AVE |
City | SYLACAUGA |
State | AL |
Zip Code | 35150-2904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730188129 | Peter Dsa | Internal Medicine | 126 S Anniston Ave, Sylacauga, AL 35150-2904 | 2005-07-18 |
1326484841 | Kendra Q Crews | Internal Medicine | 126 S Anniston Ave, Sylacauga, AL 35150-2904 | 2013-05-13 |
1982883435 | Bashar Hakim Md, PC | Internal Medicine | 126 S Anniston Ave, Sylacauga, AL 35150-2904 | 2007-11-01 |
1740206978 | Bashar Hakim | Internal Medicine | 126 S Anniston Ave, Sylacauga, AL 35150-2904 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
1043870231 | Rehab and Wellness Clinic, LLC | Pain Medicine | 234 North Broadway, Sylacauga, AL 35150 | 2019-06-19 |
1366999195 | Tasia Bates Bradford | Nurse Practitioner | 209 W Spring St Ste 102, Sylacauga, AL 35150 | 2016-09-09 |
1083831804 | Coosa Valley Urology, P.C. | Specialist | 16 South Douglas Avenue, Sylacauga, AL 35150 | 2007-04-20 |
1689720641 | John Sidney Mcpeters | Dentist | 1604 Talladega Hwy, Dr John S Mcpeters, Sylacauga, AL 35150 | 2007-01-25 |
1972652386 | David Paul Currie | Dentist | 499 W 3rd St, Sylacauga, AL 35150 | 2007-01-09 |
1336221647 | Thomas M Kines | Optometrist | 493 W 3rd Street, Sylacauga, AL 35150 | 2006-10-19 |
1275623639 | Charles E. Singleton | Surgery | 208 West Spring Street, Suite 300, Sylacauga, AL 35150 | 2006-10-13 |
1881794410 | Said Y Salman | Durable Medical Equipment & Medical Supplies | 122 N Broadway Ave, Sylacauga, AL 35150 | 2006-09-24 |
1952416141 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 1301 West Ft Williams, Sylacauga, AL 35150 | 2006-08-20 |
Find all providers in zip 35150 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
Find all providers with the same taxonomy |
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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.