MEDICAL EAST OF DECATUR INC (NPI# 1700238508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700238508 |
| Entity Type | Organization |
| Organization Name | MEDICAL EAST OF DECATUR INC |
| Other Organization Name | SOMERVILLE FAMILY MEDICINE |
| Practice Address |
4166 Highway 36 E Somerville AL 35670-5803 |
| Mailing Address |
2941 Point Mallard Pkwy Se Decatur AL 35603-5716 |
| Practice Telephone | 2567787172 |
| Practice Fax Number | 2567788910 |
| Mailing Telephone | 2564322822 |
| Mailing Fax Number | 2564322825 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | JEANNE D LINDSAY (OFFICE MANAGER) |
| Authorized Official Telephone | 2564322822 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL EAST OF DECATUR INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Somerville Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659518553 | Medical East of Decatur Inc | Nurse Practitioner | 2941 Point Mallard Pkwy Se, Ste N, Decatur, AL 35603-5716 | 2009-01-14 |
| Street Address |
4166 HIGHWAY 36 E |
| City | SOMERVILLE |
| State | AL |
| Zip Code | 35670-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1871959643 | Florence Denise Waters | Occupational Therapy Assistant | 127 Whisperwood Dr, Somerville, AL 35670-3862 | 2016-01-11 |
| 1255991394 | Erica Allen Patterson | Home Health Aide | 2099 New Center Rd Lot B, Somerville, AL 35670-3887 | 2019-06-20 |
| 1396307153 | Alabama Caregivers LLC | Home Health | 2099 New Center Rd Lot B, Somerville, AL 35670-3887 | 2019-07-02 |
| 1740548171 | Candi L Hayes | Ambulance | 301 Nelson Hollow Rd, Somerville, AL 35670-5703 | 2012-04-23 |
| 1174997514 | Encore Rehabilitation Inc | Clinic/Center | 59 Eva Rd, Somerville, AL 35670-6423 | 2015-11-23 |
| 1710051974 | Jewel Elizabeth Bishop Euto | Counselor | 335 Fowler Road, Somerville, AL 35670-6908 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596117 | Tinischa Lahens | Health Educator | 5 Middlesex Ave Fl 1, Somerville, MA 02145-1102 | 2020-10-19 |
| 1912506395 | Kelsey Elizabeth Oakes | Social Worker | 47 Pearson Ave Apt 2, Somerville, MA 02144-2305 | 2020-10-18 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1023616042 | Elizabeth Varall | Speech-Language Pathologist | 21 E High St Ste 2, Somerville, NJ 08876-2320 | 2020-10-12 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1033726716 | Patrick James Manders | Technician/Technologist | 52 Porter St Apt 1, Somerville, MA 02143-2318 | 2020-09-28 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1477168417 | Ss Holdings, LLC | Counselor | 502 Flippin St, Somerville, TN 38068-1801 | 2020-09-15 |
| 1235744111 | Sarah L Patches | Nurse Practitioner | 40 Central St Unit 2, Somerville, MA 02143-2826 | 2020-09-09 |
| Find all providers in SOMERVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744111 | Sarah L Patches | Nurse Practitioner | 40 Central St Unit 2, Somerville, MA 02143-2826 | 2020-09-09 |
| 1790315331 | Zachariah Zehler | Nurse Practitioner | 6800 Wayne Trace Rd, Somerville, OH 45064-9483 | 2020-01-23 |
| 1629453121 | Emily Brown | Nurse Practitioner | 440 Foley St, Somerville, MA 02145-1213 | 2015-07-25 |
| 1316354236 | Meghan Glynn | Nurse Practitioner | 51 Woods Ave, Somerville, MA 02144-1118 | 2014-07-14 |
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1710280391 | Allie Win Collignon | Nurse Practitioner | 750 Broadway Apt 3, Somerville, MA 02144-2143 | 2010-12-21 |
| 1750556148 | Wilder Clinic, LLC | Nurse Practitioner | 201 Lakeview Rd, Suite A, Somerville, TN 38068-9742 | 2008-04-25 |
| 1164591566 | Elizabeth P Mcknight | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2006-11-07 |
| 1629018981 | Ashley O Pennington | Nurse Practitioner | 213 Lakeview Dr, Somerville, TN 38068 | 2006-06-07 |
| 1760098909 | Rebecca Watts | Nurse Practitioner | 110 Rehill Ave, Somerville, NJ 08876-2519 | 2020-09-22 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 35670 |
Please comment or provide details below to improve the information on MEDICAL EAST OF DECATUR INC.
| 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.