PHYSICIAN SERVICES OF ALABAMA LLC (NPI# 1942506852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942506852 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN SERVICES OF ALABAMA LLC |
| Practice Address |
1701 Pelham Rd S Jacksonville AL 36265-3369 |
| Mailing Address |
620 Quintard Dr Oxford AL 36203-1840 |
| Practice Telephone | 2568358885 |
| Mailing Telephone | 2568358885 |
| Mailing Fax Number | 2568358016 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | DR. CHARLIE G WILLIAMS JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 2562395830 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AL | Other Service Providers |
| Street Address |
1701 PELHAM RD S |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824764 | William Ernest Tyndall | Emergency Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2006-05-03 |
| 1679011969 | Jacksonville Internal Medicine & Wellness LLC | Legal Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2017-02-07 |
| 1427503010 | The Health Care Authority of The City of Anniston | Emergency Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2016-08-24 |
| 1982058392 | Christina Joy Latta | Nurse Practitioner | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2016-04-21 |
| 1316312028 | Jacksonville Aristo Er, LLC | Emergency Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2015-12-07 |
| 1235575622 | Stoney Brook Emergency Physicians, Pllc | Emergency Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 2013-05-13 |
| 1285971895 | Timothy B Tabor Md PC | Radiology | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 2013-01-16 |
| 1285945832 | Wade Bilger | Nurse Anesthetist, Certified Registered | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 2010-06-29 |
| 1205165065 | Jacksonville Anesthesia LLC | Anesthesiology | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 2009-12-08 |
| 1023253762 | Jacksonville Emergency Physicians LLC | Emergency Medicine | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
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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.