MR. TRACY L POOL (NPI# 1588690481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588690481 |
| Entity Type | Individual |
| Full Name | MR. TRACY L POOL |
| Credential | MD |
| Practice Address |
20250 Capitol Hill Dr Tanner AL 35671-3638 |
| Practice Telephone | 2565056826 |
| Mailing Telephone | 2565056826 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 18295 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD 18295 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC | 511-03705 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 W Market St, Athens, AL 356112457 | 2562339292 |
| Street Address |
20250 CAPITOL HILL DR |
| City | TANNER |
| State | AL |
| Zip Code | 35671-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447423009 | Stanley Farrell Smallwood | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671 | 2008-04-03 |
| 1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
| 1619443090 | Traci Mclin | Specialist | 10203 Lucas Ferry Rd Ste B, Tanner, AL 35671-3406 | 2018-10-23 |
| 1801135538 | Meredith Clark Belew | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-31 |
| 1376881870 | Tanner Medical Clinic LLC | Family Medicine | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-18 |
| 1366555013 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2006-08-16 |
| 1992280366 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2018-10-01 |
| 1548544752 | Southside Pharmacy Inc | Pharmacy | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
| 1619443090 | Traci Mclin | Specialist | 10203 Lucas Ferry Rd Ste B, Tanner, AL 35671-3406 | 2018-10-23 |
| 1447423009 | Stanley Farrell Smallwood | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671 | 2008-04-03 |
| 1366555013 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2006-08-16 |
| 1992280366 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2018-10-01 |
| 1801135538 | Meredith Clark Belew | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-31 |
| 1376881870 | Tanner Medical Clinic LLC | Family Medicine | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-18 |
| 1548544752 | Southside Pharmacy Inc | Pharmacy | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2011-10-06 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376881870 | Tanner Medical Clinic LLC | Family Medicine | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-18 |
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| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
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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.