TUSCALOOSA MED CENTER SOUTH, PC (NPI# 1689689481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689689481 |
| Entity Type | Organization |
| Organization Name | TUSCALOOSA MED CENTER SOUTH, PC |
| Practice Address |
5005 Oscar Baxter Dr Tuscaloosa AL 35405-3698 |
| Practice Telephone | 2053432225 |
| Practice Fax Number | 2053432230 |
| Mailing Telephone | 2053432225 |
| Mailing Fax Number | 2053432230 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. PERRY LOVELY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2053432205 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | CJ7234 | 01 |
| Street Address |
5005 OSCAR BAXTER DR |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373328 | Ashley Stines | Nurse Practitioner | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2020-07-07 |
| 1699315937 | Jacqueline Taylor Averette | Nurse Practitioner | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2020-01-15 |
| 1649811654 | Lora Leigh Posey | Nurse Practitioner | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2019-10-01 |
| 1770973125 | Amy Shirley | Nurse Practitioner | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2015-01-23 |
| 1487995395 | Nelly Carmichael | Nurse Practitioner | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2013-03-04 |
| 1982754974 | Jarred L Sartain | Family Medicine | 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1437668639 | Crimson Care LLC | Clinic/Center | 1771 Skyland Blvd E, Tuscaloosa, AL 35405 | 2017-09-20 |
| 1831205228 | Crimson Urgent Care, LLC | Clinic/Center | 1718 Veterans Memorial Pkwy, Suite A, Tuscaloosa, AL 35404 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1578183190 | Allegra Healthcare | Clinic/Center | 1116 Mitt Lary Rd, Northport, AL 35475-4978 | 2020-04-23 |
| 1801427018 | Crmc Medical Group LLC | Clinic/Center | 1958 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-28 |
| 1275178600 | Pdq Urgent Care PC | Clinic/Center | 3319c Memorial Pkwy Sw, Huntsville, AL 35801-5342 | 2019-11-08 |
| 1306404777 | Your Kids Urgent Care Alabama | Clinic/Center | 790 Montgomery Hwy Ste 112, Vestavia Hills, AL 35216-1873 | 2019-05-31 |
| 1528548666 | Pediatrics Pm, LLC. | Clinic/Center | 1502 5th Ave S, Birmingham, AL 35233-1615 | 2018-08-17 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1205341005 | Rural Urgent Care LLC | Clinic/Center | 1401 Al Hwy 14, Millbrook, AL 36054 | 2017-12-04 |
| 1336662238 | Robertsdale Urgent Care LLC | Clinic/Center | 18557 E Hammond St, Robertsdale, AL 36567-3629 | 2017-07-23 |
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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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.