Davisson Jean Leandre F E Edmond (NPI# 1376739151, PAC ID# 2466515630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376739151 |
| PAC ID by PECOS | 2466515630 |
| Professional Enrollment ID | I20110104000734 |
| Full Name | Davisson Jean Leandre F E Edmond |
| Address |
612 Calhoun St Piedmont AL 36272-1939 |
| Gender | M |
| Medical School | UNIVERSITE DE MONTREAL FACULTE DE MED DENTAIRE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010078 | NORTHEAST ALABAMA REGIONAL MEDICAL CENTER |
| 010038 | STRINGFELLOW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 612 Calhoun St, Piedmont, AL 36272-1939 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 83% |
| Street Address |
612 CALHOUN ST |
| City | PIEDMONT |
| State | AL |
| Zip | 36272-1939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell D Ulrich | Family Medicine | Piedmont Family Practice Center PC | 800 W Memorial Dr, Piedmont, AL 36272-0450 |
| Nolan D Ulrich | Family Medicine | Piedmont Family Practice Center PC | 800 W Memorial Dr, Piedmont, AL 36272-0450 |
| Amy Charlotte Mccurdy | Chiropractic | 212 Rome Ave, Piedmont, AL 36272-1920 | |
| Mady Y Fingeret | Psychologist, Clinical | Grayson and Associates PC | 30 Roundtree Dr, Piedmont, AL 36272-5892 |
| Cari P Mcalister | Nurse Practitioner | Regional Health Management Corporation | 32 Roundtree Dr, Piedmont, AL 36272-5892 |
| Ryan C Price | Optometry | Eye Care Alabama Inc | 801 Memorial Dr, Piedmont, AL 36272-6632 |
| David D Mohon | Optometry | Eye Care Alabama Inc | 801 Memorial Dr, Piedmont, AL 36272-6632 |
| Kenneth Lee Pilgreen | Neurology | 1490 Rabbittown Rd, Piedmont, AL 36272-7847 |
| City | PIEDMONT |
| Zip Code | 36272 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PIEDMONT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Davisson Jean Leandre F E Edmond.
| 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.