PICKENS COUNTY PRIMARY CARE PC (NPI# 1629491451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629491451 |
| Entity Type | Organization |
| Organization Name | PICKENS COUNTY PRIMARY CARE PC |
| Practice Address |
108 4th Ave Sw Ste A Reform AL 35481-8018 |
| Practice Telephone | 2053756251 |
| Practice Fax Number | 2053759064 |
| Mailing Telephone | 2053756251 |
| Mailing Fax Number | 2053759064 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | MRS. JULIA L BOOTHE (OWNER) |
| Authorized Official Telephone | 2057926701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 162102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| Street Address |
108 4TH AVE SW STE A |
| City | REFORM |
| State | AL |
| Zip Code | 35481-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083713556 | Robert Neil Honea | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2006-09-21 |
| 1093341570 | Laci Jones | Social Worker | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2020-03-17 |
| 1003449869 | Jlbmd Consulting, PC | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2020-02-19 |
| 1992152284 | Marilyn Dyer Smith | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2016-05-17 |
| 1457774200 | Cacyce Fowler | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481 | 2014-01-30 |
| 1609114198 | Theresa Darlene Putman | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476714 | Growing In The Dark Counseling Services | Counselor | 402 3rd Ave Sw, Reform, AL 35481 | 2019-06-14 |
| 1508332446 | Pickens County Primary Care, P.c | Family Medicine | 815 7th Ave Sw, Reform, AL 35481 | 2018-10-18 |
| 1679824684 | Kristin Hamner | Occupational Therapy Assistant | 515 2nd Avenue Nw, Reform, AL 35481 | 2012-10-01 |
| 1750509394 | Meredith L Mettee | Home Health | 216 1st St S, Reform, AL 35481 | 2007-04-20 |
| 1043313661 | Landreth & Associates Inc | Optometrist | 311 1st Street, Reform, AL 35481 | 2006-09-07 |
| 1780627356 | Harry Lee Richardson Jr. | Emergency Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2006-06-13 |
| 1356381222 | Reform Pharmacy Inc | Pharmacy | 211 1st Street South, Reform, AL 35481 | 2006-06-07 |
| 1437626868 | Pickens County Primary Care, PC | Family Medicine | 205 4th Ave, Reform, AL 35481 | 2018-10-24 |
| 1023303013 | Brenda Sue Robertson | Physical Therapy Assistant | 515 2nd Ave Nw, Reform, AL 35481 | 2011-06-17 |
| 1134440894 | Reform Rural Health Center PC | Family Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2010-06-17 |
| Find all providers in zip 35481 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1104183334 | Pickens County Medical Center, Inc | Clinic/Center | 514 10th Ave S W, Reform, AL 35481-0514 | 2012-04-12 |
| 1770837395 | Pickens County Health Care Authority | Clinic/Center | 514 10th Ave S W, Reform, AL 35481-0514 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| 1922546357 | Medcenter Primary Care | Clinic/Center | 4960 Rice Mine Road Ne, Ste 10, Northport, AL 35476-2838 | 2017-02-06 |
| 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.