Mary Sue Suggs (NPI# 1154317758, PAC ID# 1557377900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154317758 |
| PAC ID by PECOS | 1557377900 |
| Professional Enrollment ID | I20110120000051 |
| Full Name | Mary Sue Suggs |
| Organization Legal Name | MAIN STREET MEDICAL CLINIC LLC |
| Address |
1508 Cogswell Ave Pell City AL 35125-1243 |
| Phone Number | 2058141598 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769675891 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010130 | ST VINCENT'S ST CLAIR |
| Address | Phone | Organization |
|---|---|---|
| 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2058141598 | MAIN STREET MEDICAL CLINIC LLC |
| Organization Legal Name | MAIN STREET MEDICAL CLINIC LLC |
| Physicians | 1 |
| Street Address |
1508 COGSWELL AVE |
| City | PELL CITY |
| State | AL |
| Zip | 35125-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Bennett | Anesthesiology | Alabama Anesthesiology and Pain Consultants P C | 2805 John Haynes Dr, Pell City, AL 35125-0001 |
| Carly B Garvey | Physician Assistant | Alabama Anesthesiology and Pain Consultants P C | 2805 John Haynes Dr, Pell City, AL 35125-0001 |
| Jessica L Marshman | Physician Assistant | Alabama Anesthesiology and Pain Consultants P C | 2805 John Haynes Dr, Pell City, AL 35125-0001 |
| Andrew R Picton | Nurse Practitioner | Alabama Anesthesiology and Pain Consultants P C | 2805 John Haynes Dr, Pell City, AL 35125-0001 |
| Corey W Gilliland | General Practice | Alabama Anesthesiology and Pain Consultants P C | 613 Martin St N, Suite 300, Pell City, AL 35125-1321 |
| Edina E Von Rottenthaler | Internal Medicine | Alabama Anesthesiology and Pain Consultants P C | 613 Martin St N, Suite 300, Pell City, AL 35125-1321 |
| Shannan T Garvey | Certified Registered Nurse Anesthetist (crna) | 613 Martin St N, Suite 300, Pell City, AL 35125-1321 | |
| Shea Jones Watkins | Clinical Social Worker | Eastside Mental Health Center Inc | 625 15th St No, Pell City, AL 35125-1381 |
| Mary Lee | Clinical Social Worker | Eastside Mental Health Center Inc | 625 15th St No, Pell City, AL 35125-1381 |
| Jennifer Yarbrough Yates | Nurse Practitioner | Alabama Anesthesiology and Pain Consultants P C | 2804 Dr John Haynes Dr, Pell City, AL 35125-1438 |
| Find all physicians in zip 35125 | |||
| City | PELL CITY |
| Zip Code | 35125 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PELL CITY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.