GENERATIONS PROFESSIONAL SERVICES, LLC (NPI# 1184131690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184131690 |
| Entity Type | Organization |
| Organization Name | GENERATIONS PROFESSIONAL SERVICES, LLC |
| Practice Address |
1050 Convalescent Rd Vernon AL 35592-4823 |
| Mailing Address |
Po Box 362105 Hoover AL 35236-2105 |
| Practice Telephone | 2056959313 |
| Mailing Telephone | 2055401851 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. JOHN ERIC MELTON (MEMBER/CEO) |
| Authorized Official Telephone | 2055401851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F09170932 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 10th Ave Nw, Red Bay, AL 355823800 | 2055401851 |
| Street Address |
1050 CONVALESCENT RD |
| City | VERNON |
| State | AL |
| Zip Code | 35592-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500468 | Generations of Vernon, LLC | Skilled Nursing Facility | 1050 Convalescent Rd, Vernon, AL 35592-4823 | 2005-09-30 |
| 1306370648 | Ashley Lauren Elizabeth Sudduth | Nurse Practitioner | 1050 Convalescent Rd, Vernon, AL 35592 | 2017-04-13 |
| 1003204959 | Terena Stidham | Skilled Nursing Facility | 1050 Convalescent Rd, Vernon, AL 35592-4823 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
| 1063848927 | Encore Rehabilitation, Inc. | Clinic/Center | 44992 Highway 17, Vernon, AL 35592 | 2013-09-23 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1164624086 | Lamar County | Local Education Agency (LEA) | 150 Butler Circle, Vernon, AL 35592 | 2007-06-04 |
| 1306964812 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 9574 Hwy 18, Vernon, AL 35592 | 2007-03-26 |
| 1609917707 | Lamar Home Care, Inc. | Home Health | 131 1st Ave. Nw, Suite B, Vernon, AL 35592 | 2007-02-09 |
| 1811066863 | Twin States Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 131 1st Avn. Nw, Vernon, AL 35592 | 2006-11-06 |
| 1669551677 | Larry Joe Whisenant | Dentist | 121 10th St Nw, Vernon, AL 35592 | 2006-11-02 |
| 1902814262 | Terry L Duke | Pharmacist | 170 5th Street Southwest, Vernon, AL 35592 | 2006-08-03 |
| 1992741284 | Robert William Davis | Family Medicine | 45020 Highway 17, Vernon, AL 35592 | 2006-06-22 |
| Find all providers in zip 35592 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394195 | Farzana Gilani | Nurse Practitioner | 4577 Mcgill Ter, Hoover, AL 35226-6382 | 2020-07-31 |
| 1235762980 | Zachary David Quintana | Nurse Practitioner | 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 | 2020-02-20 |
| 1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
| 1437613031 | Lynsey Smith | Nurse Practitioner | 121 N 20th St Ste 2, Opelika, AL 36801-5409 | 2019-01-28 |
| 1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| 1427571389 | Sonya K Hicks | Nurse Practitioner | 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 | 2017-07-24 |
| 1326580515 | Kams Transportation and Mobile Health Services | Nurse Practitioner | 102 Pearle Cove Dr, Huntsville, AL 35806-4243 | 2016-11-06 |
| 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.