PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. (NPI# 1306837976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306837976 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. |
| Practice Address |
1722 Pine St Suite 309 Montgomery AL 36106-1103 |
| Practice Telephone | 3342620342 |
| Practice Fax Number | 3342620390 |
| Mailing Telephone | 3342620342 |
| Mailing Fax Number | 3342620390 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | CHARLA SEWELL (ADMINISTRATOR) |
| Authorized Official Telephone | 3342620342 |
| Authorized Official Credential | CMPE |
| 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 | CLIA CERTIFICATE # | 01D0671060 | 01 |
| Street Address |
1722 PINE ST SUITE 309 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949472 | Aubrey Ayers Stabler Jr. | Otolaryngology | 1722 Pine St, Suite 804, Montgomery, AL 36106-1108 | 2005-06-02 |
| 1609435155 | Virginia Mcdaniel | Nurse Practitioner | 1722 Pine St, Montgomery, AL 36106-1103 | 2019-06-09 |
| 1841736683 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 204, Montgomery, AL 36106-1103 | 2017-01-18 |
| 1376097089 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 406, Montgomery, AL 36106-1103 | 2016-08-10 |
| 1407300304 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Suite 904, Montgomery, AL 36106-1103 | 2016-08-09 |
| 1619352895 | Tammie Holcey | Nurse Practitioner | 1722 Pine St, Suite 1005, Montgomery, AL 36106-1103 | 2015-07-29 |
| 1528449386 | Jackson Hospital and Clinic Inc. | Durable Medical Equipment & Medical Supplies | 1722 Pine St, Suite 502, Montgomery, AL 36106-1103 | 2015-06-17 |
| 1285030080 | Greater Montgomery Patient Centered Gastroenterology and Hepatology | Internal Medicine | 1722 Pine St, Suite 801, Montgomery, AL 36106-1103 | 2014-11-06 |
| 1396152823 | S Louis Armstrong Md PC | Surgery | 1722 Pine St, Suite 201, Montgomery, AL 36106-1103 | 2014-07-16 |
| 1154669752 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Ste 503, Montgomery, AL 36106-1103 | 2013-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 |
|---|---|---|---|---|
| 1669854725 | Daugherty Medical Group Pllc | Internal Medicine | 9200 Montgomery Rd Suite 18a, Montgomery, OH 45242 | 2015-06-25 |
| 1548605389 | Albert E. Lester M.d., P.a. | Internal Medicine | 3091 Gaston Ave Ste B, Montgomery, AL 36105-1541 | 2013-05-07 |
| 1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
| 1841565769 | Malcolm Brown Md LLC | Internal Medicine | 2214 Rosemont Dr, Montgomery, AL 36111-1009 | 2012-03-09 |
| 1669747671 | Norman A Garrison Md LLC | Internal Medicine | 9419 Winfield Pl, Montgomery, AL 36117-5177 | 2012-03-09 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| 1730320946 | Montgomery Clinic LLC | Internal Medicine | 641 Rowena St, Montgomery, LA 71454 | 2009-03-18 |
| 1376706846 | Roopa Dhawan Gandhi | Internal Medicine | 11059 Grandstone Ln, Montgomery, OH 45249-3418 | 2008-07-05 |
| 1619137528 | Celtin Robertson | Internal Medicine | 2820 Fairlane Dr, Ste A8, Montgomery, AL 36116-1631 | 2008-06-13 |
| 1720265416 | Scott Bell Md, P.C. | Internal Medicine | 7020 Sydney Curv, Montgomery, AL 36117-3508 | 2008-01-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.