SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING (NPI# 1487104998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104998 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING |
| Practice Address |
1075 S Brannon Stand Rd Dothan AL 36305-7359 |
| Practice Telephone | 3347936843 |
| Mailing Telephone | 3347936843 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | DANA EIDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3347936843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
1-054943 | AL | Nursing Service Providers |
| Street Address |
1075 S BRANNON STAND RD |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972001212 | Sara Frances Phillips | Registered Nurse | 1075 S Brannon Stand Rd, Dothan, AL 36305-7359 | 2018-01-31 |
| 1891246195 | Community Care Solutions | Case Management | 1075 S Brannon Stand Rd, Dothan, AL 36305-7359 | 2016-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487549 | Sheila Elaine Starling | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173724 | Lorrie Evans Dovin | Registered Nurse | 6701 Airport Blvd Bldg D436, Mobile, AL 36608-6705 | 2020-01-23 |
| 1619523461 | Hannah Brown | Registered Nurse | 75 S University Blvd Ste 6500, Mobile, AL 36608-3271 | 2019-08-16 |
| 1861930364 | Lanora Medley | Registered Nurse | 1655 County Road 123, Columbia, AL 36319-5745 | 2017-02-03 |
| 1154642304 | Trussville Total Care Pharmacy LLC | Registered Nurse | 115 N Chalkville Rd, Trussville, AL 35173-1376 | 2010-06-22 |
| 1265582688 | Carroll Total Care Pharmacy Inc. | Registered Nurse | 6767 Old Springville Rd, Pinson, AL 35126-3039 | 2007-01-10 |
| 1710335062 | Anna Carter | Registered Nurse | 2422 Village Professional Dr, Opelika, AL 36801-2378 | 2016-05-27 |
| 1639549868 | Nakesha Hill | Registered Nurse | 2422 Village Professional Dr, Opelika, AL 36801-2378 | 2015-09-30 |
| 1598135956 | Paige Kahn | Registered Nurse | 2422 Village Professional Dr, Opelika, AL 36801-2378 | 2015-09-29 |
| 1447629910 | Heather Hartley | Registered Nurse | 2422 Village Professional Dr, Opelika, AL 36801-2378 | 2015-09-15 |
| 1447497458 | Janice E. Mcmahan | Registered Nurse | 1010 1st St N, Suite 250, Alabaster, AL 35007-8608 | 2009-01-13 |
| 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.