Sean B Bohannon (NPI# 1881851491, PAC ID# 2961689518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881851491 |
| PAC ID by PECOS | 2961689518 |
| Professional Enrollment ID | I20110712000058 |
| Full Name | Sean B Bohannon |
| Organization Legal Name | SELMA FAMILY CARE PC |
| Address |
203 Vaughan Memorial Dr Selma AL 36701-6950 |
| Phone Number | 3343758007 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1951654763 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010118 | VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1015 Medical Ctr Pkwy, Selma, AL 36701-6748 | 3344185999 | PARAGON CONTRACTING SERVICES LLC |
| 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 3343758007 | SELMA FAMILY CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 91% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 91% |
| Organization Legal Name | SELMA FAMILY CARE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamarah H Mason | Nurse Practitioner | Selma Family Care PC | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 |
| Marjorie Ellen Mitchell | Nurse Practitioner | Selma Family Care PC | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 |
| Street Address |
203 VAUGHAN MEMORIAL DR |
| City | SELMA |
| State | AL |
| Zip | 36701-6950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamarah H Mason | Nurse Practitioner | Selma Family Care PC | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 |
| Marjorie Ellen Mitchell | Nurse Practitioner | Selma Family Care PC | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Harris | Orthopedic Surgery | 1023 Medical Ctr Pkwy, Suite 405, Selma, AL 36701 | |
| Michael Shane Hammett | Nurse Practitioner | Taylor Internal Medicine of Selma, P.C. | 4258 Us Hwy 80 W, Selma, AL 36701-2202 |
| Shenella Carlisle | Nurse Practitioner | Homestead Palliative Care, Inc | 3005 Citizens Pkwy, Selma, AL 36701-3918 |
| Ben E Weber | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| William E Lightfoot | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| Allen Randolph Henderson | Chiropractic | 611 Broad St, Selma, AL 36701-4505 | |
| Ernest I Okeke | Family Medicine | 901 A Jeff Davis Ave, Selma, AL 36701-4518 | |
| Walid Wajih Freij | Neurology | 217 Broad St, 2nd Floor Swift Bldg, Selma, AL 36701-4589 | |
| Julian P Howell Jr. | Family Practice | Smartcare Hub LLC | 101 Broad St, Selma, AL 36701-4606 |
| David Ward Hodo | Psychiatry | 800 Tremont St, Selma, AL 36701-5447 | |
| Find all physicians in zip 36701 | |||
| City | SELMA |
| Zip Code | 36701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SELMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sean B Bohannon.
| 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.