Amy L Illescas (NPI# 1346269123, PAC ID# 3870575517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346269123 |
| PAC ID by PECOS | 3870575517 |
| Professional Enrollment ID | I20040604000910 |
| Full Name | Amy L Illescas |
| Organization Legal Name | SOUTHERN CARE INTERNAL MEDICINE PC |
| Address |
2827 Greystone Commercial Blvd Birmingham AL 35242-2660 |
| Phone Number | 2055472323 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668642794 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010104 | GRANDVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2827 Greystone Commercial Blvd, Birmingham, AL 35242-2660 | 2055472323 | SOUTHERN CARE INTERNAL MEDICINE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 78% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 15% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 25% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 1% |
| Organization Legal Name | SOUTHERN CARE INTERNAL MEDICINE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie Dawn Weidman | Nurse Practitioner | Southern Care Internal Medicine PC | 2827 Greystone Commercial Blvd, Birmingham, AL 35242-2660 |
| Shanyn Denai Wilhite | Nurse Practitioner | Southern Care Internal Medicine PC | 2827 Greystone Commercial Blvd, Birmingham, AL 35242-2660 |
| Street Address |
2827 GREYSTONE COMMERCIAL BLVD |
| City | BIRMINGHAM |
| State | AL |
| Zip | 35242-2660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie Dawn Weidman | Nurse Practitioner | Southern Care Internal Medicine PC | 2827 Greystone Commercial Blvd, Birmingham, AL 35242-2660 |
| Shanyn Denai Wilhite | Nurse Practitioner | Southern Care Internal Medicine PC | 2827 Greystone Commercial Blvd, Birmingham, AL 35242-2660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence Demitress Cook | Optometry | 5021 U S Hwy 280 101, Hoover, AL 35242 | |
| Santanna M Thomas | Nurse Practitioner | Mibella Gynecology, LLC | 3000 Meadow Lake Dr, Suite 101, Birmingham, AL 35242-0302 |
| Mia T Cowan | Obstetrics/gynecology | Mibella Gynecology, LLC | 3000 Meadow Lake Dr, Suite 101, Birmingham, AL 35242-0302 |
| Kelley Catron | Nurse Practitioner | Mibella Gynecology, LLC | 3000 Meadow Lake Dr, Suite 101, Birmingham, AL 35242-0302 |
| Vance N Estes | Chiropractic | 4000 Meadow Lake Dr, Suite 123, Birmingham, AL 35242-0311 | |
| William M Mcclellan | Physical Therapy | Agilitas Usa Inc | 5285 Hwy 280, Suite 109, Birmingham, AL 35242-0317 |
| Madeline Arnall | Physical Therapy | Agilitas Usa Inc | 5285 Hwy 280, Suite 109, Birmingham, AL 35242-0317 |
| William P Clifford | Family Medicine | Baptist Health Centers LLC | 13521 Old Hwy 280, Suite 225, Birmingham, AL 35242-1405 |
| Leah P Kirkemier | Optometry | Jessica Palmer, O.d., LLC | 13521 Old Hwy 280 249, Birmingham, AL 35242-1406 |
| Andrew Joseph Poe | Nurse Practitioner | Affinity Physician Services, LLC | 201 Doug Baker Blvd, Birmingham, AL 35242-2013 |
| Find all physicians in zip 35242 | |||
| City | BIRMINGHAM |
| Zip Code | 35242 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BIRMINGHAM + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Amy L Illescas.
| 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.