IMMEDIATE FAMILY CLINIC (NPI# 1598165623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165623 |
| Entity Type | Organization |
| Organization Name | IMMEDIATE FAMILY CLINIC |
| Practice Address |
627 Saraland Blvd S Saraland AL 36571-3633 |
| Mailing Address |
Po Box 4674 Biloxi MS 39535-4674 |
| Practice Telephone | 2516791988 |
| Practice Fax Number | 2516799282 |
| Mailing Telephone | 2516791988 |
| Mailing Fax Number | 2516799282 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | SUSAN PERRY (PROVIDER) |
| Authorized Official Telephone | 2516791988 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R868142 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06381703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093045908 | Immediate Family Clinic | Clinic/Center | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2009-12-28 |
| Street Address |
627 SARALAND BLVD S |
| City | SARALAND |
| State | AL |
| Zip Code | 36571-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912968942 | Theta Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 627 Saraland Blvd S, Saraland, AL 36571-3633 | 2006-03-29 |
| 1215233564 | Christopher Alan O'laire | Chiropractor | 627 Saraland Blvd S, Saraland, AL 36571-3633 | 2011-02-03 |
| 1215248414 | Jarrod A Cain | Physical Therapist | 627 Saraland Blvd S, Saraland, AL 36571-3633 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717053 | Benchmark Physical Therapy of Alabama, LLC | Occupational Therapist | 41 Shell St, Saraland, AL 36571 | 2019-08-28 |
| 1902396682 | Sarah Elizabeth Wright | Physical Therapist | 41 Shell Street, Saraland, AL 36571 | 2018-05-17 |
| 1437532843 | Jkld LLC | Pharmacy | 106a Saraland Loop Rd, Saraland, AL 36571 | 2015-07-02 |
| 1760709893 | Taylor Internal Medicine of Mobile | Durable Medical Equipment & Medical Supplies | 18 C M Rambo Drive, Saraland, AL 36571 | 2010-04-29 |
| 1518103548 | Deborah Bernadette Rice | Counselor | 430 Norton Ave, Saraland, AL 36571 | 2008-12-22 |
| 1205965175 | Industrial Wellness Rehab, Inc | Physical Therapist | 627 Highway 43 South, Suite B, Saraland, AL 36571 | 2007-03-05 |
| 1619027679 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 951 Us 43 South, Saraland, AL 36571 | 2007-01-11 |
| 1447335526 | George H Burroughs | Chiropractor | 8-a Highway 43 N, Saraland, AL 36571 | 2006-10-26 |
| 1518048388 | Kathryn Knight-dopson | Durable Medical Equipment & Medical Supplies | 118b Highway 43 S, Saraland, AL 36571 | 2006-10-18 |
| 1104935915 | William R Bruner II | Dentist | 623 Highway 43 South, Suite A, Saraland, AL 36571 | 2006-08-29 |
| Find all providers in zip 36571 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501836 | Amanda J Toris | Nurse Practitioner | 95 Shell Rd, Saraland, AL 36571-2202 | 2019-01-07 |
| 1093130205 | Courtney Mcdaniel Nix | Nurse Practitioner | 119 Ennis St, Saraland, AL 36571-2706 | 2014-02-25 |
| 1558785980 | Gale Cawthon Smith | Nurse Practitioner | 18 C.m. Rambo Drive, Saraland, AL 36571-2147 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.