Jerry Outlaw (NPI# 1609125202, PAC ID# 3072745546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609125202 |
| PAC ID by PECOS | 3072745546 |
| Professional Enrollment ID | I20140415002272 |
| Full Name | Jerry Outlaw |
| Organization Legal Name | SOUTHLAND HOSPITALIST AT OPP PLLC |
| Address |
702 N Main St Opp AL 36467-1626 |
| Phone Number | 3344933541 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608141734 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4370 W Main St, Dothan, AL 36305-1056 | 3347935000 | NORTHERN ALABAMA PHYSICIANS, LLP |
| 702 N Main St, Opp, AL 36467-1626 | 3344933541 | SOUTHLAND HOSPITALIST AT OPP PLLC |
| Organization Legal Name | SOUTHLAND HOSPITALIST AT OPP PLLC |
| Physicians | 1 |
| Street Address |
702 N MAIN ST |
| City | OPP |
| State | AL |
| Zip | 36467-1626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michel C Ferguson | Nurse Practitioner | Family Health Services of Darke County, Inc. | 702 N Main St, Arcanum, OH 45304-1421 |
| Abby Whitaker | Nurse Practitioner | Family Health Services of Darke County, Inc. | 702 N Main St, Arcanum, OH 45304-1421 |
| Aaron F Holloway | Certified Registered Nurse Anesthetist (crna) | Mizell Memorial Hospital, Inc. | 702 N Main St, Opp, AL 36467-1626 |
| Alan D Prince | Neurology | Mizell Memorial Hospital, Inc. | 702 N Main St, Opp, AL 36467-1626 |
| Meredith K Britton | Nurse Practitioner | Family Health Services of Darke County, Inc. | 702 N Main St, Arcanum, OH 45304-1421 |
| Vincent E Martin Jr. | Diagnostic Radiology | 702 N Main St, Opp, AL 36467-1626 | |
| Rick A Harrelson | Internal Medicine | Mizell Memorial Hospital, Inc. | 702 N Main St, Opp, AL 36467-1626 |
| Cole Smith | Clinical Social Worker | Bailey Behavioral Health LLC | 702 N Main St, Suite F, Harrison, AR 72601-2920 |
| Paula A Stapleton | Clinical Social Worker | Bailey Behavioral Health LLC | 702 N Main St, Suite F, Harrison, AR 72601-2920 |
| Angela M Pereira | Clinical Social Worker | Bailey Behavioral Health LLC | 702 N Main St, Suite F, Harrison, AR 72601-2920 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew S. Carter | Optometry | Joshua Driver PC | 604 N Main St A, Opp, AL 36467-1600 |
| Joshua J. Driver | Optometry | Joshua Driver PC | 604 N Main St A, Opp, AL 36467-1600 |
| Steven J Davis | Family Medicine | Mizell Memorial Hospital, Inc. | 802 N Main St, Opp, AL 36467-1614 |
| Kenneth J Crowe | General Practice | Mizell Memorial Hospital, Inc. | 802 N Main St, Opp, AL 36467-1614 |
| Patricia Leigh Rountree | Nurse Practitioner | Mizell Memorial Hospital, Inc. | 802 N Main St, Opp, AL 36467-1614 |
| Lisa Michelle Adamson | Nurse Practitioner | Mizell Memorial Hospital, Inc. | 802 N Main St, Opp, AL 36467-1614 |
| Larry C Norris | Physician Assistant | Mizell Memorial Hospital, Inc. | 702 Main St N, Opp, AL 36467-1626 |
| Robert Mclain Williams | Family Medicine | 702 N Main St, Opp, AL 36467-1626 | |
| Grover A Wells | General Surgery | Mckowen and Day Md PC | 601 Brantley St, Opp, AL 36467-1703 |
| Sheena P Buckelew | Nurse Practitioner | 101 E Paulk Ave, Suite A, Opp, AL 36467-1727 | |
| Find all physicians in zip 36467 | |||
| City | OPP |
| Zip Code | 36467 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OPP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jerry Outlaw.
| 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.