DR. RANDALL L DEARMENT (NPI# 1538146055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538146055 |
| Entity Type | Individual |
| Full Name | DR. RANDALL L DEARMENT |
| Credential | D.O. |
| Practice Address |
902 W Washington St Athens AL 35611-2438 |
| Practice Telephone | 2562169777 |
| Practice Fax Number | 2562339776 |
| Mailing Telephone | 2562169777 |
| Mailing Fax Number | 2562339776 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2012-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101006945 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5198640 | 05 |
| Street Address |
902 W WASHINGTON ST |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922509520 | Jaclyn Rae Collie | Nurse Practitioner | 902 W Washington St, Athens, AL 35611-2438 | 2018-02-28 |
| 1104353226 | Waddell Center Family Medicine | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2017-05-19 |
| 1720449796 | Lindsey T Smith | Nurse Practitioner | 902 W Washington St, Athens, AL 35611-2438 | 2016-03-17 |
| 1215298849 | Melissa C Gray | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2012-05-30 |
| 1326297987 | Christopher George Enoe | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2008-09-18 |
| 1073769493 | Binod Bista | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2008-08-18 |
| 1003006289 | Waddell Center Family Medicine | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2007-07-25 |
| 1548206659 | James Russell Walker | Internal Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| Find all providers in zip 35611 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235603176 | Integrated Medicine of Athens, LLC | General Practice | 623 N Milledge Ave Unit A, Athens, GA 30601-3803 | 2019-01-14 |
| 1629470356 | American Family Care, Inc. | General Practice | 1285 Hwy 72 East, Athens, AL 35611-0000 | 2014-09-25 |
| 1891013090 | William Austin Zorn Jr. | General Practice | 2440 W Broad St Ste 1, Athens, GA 30606-3429 | 2010-05-12 |
| 1811178569 | Athens Attentive Md, LLC | General Practice | 455 Epps Bridge Pkwy, Building 100, Suite 102, Athens, GA 30606-3347 | 2007-11-23 |
| 1477671253 | Paul Collins Broun Jr. | General Practice | 1221 Knob Creek Dr, Athens, GA 30606-7040 | 2007-03-27 |
| 1356498380 | Gail L Hurley | General Practice | 402 Mckinley Dr, Athens, GA 30601-3261 | 2007-01-04 |
| 1952412280 | Max Evans Ayer | General Practice | 218 South Palestine, Athens, TX 75751 | 2006-08-31 |
| 1639116197 | Rodney Dunham | General Practice | 2324 Congress Pkwy S, Athens, TN 37303-2820 | 2006-06-01 |
| 1437151024 | Christopher Simpson | General Practice | 265 W Union St, Suite B, Athens, OH 45701 | 2005-08-12 |
| 1669474375 | John Dennis Cunningham | General Practice | 2 Health Center Dr, Athens, OH 45701-2907 | 2005-08-12 |
| Find all providers in ATHENS | ||||
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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.