Jess H Youngblood (NPI# 1467676676, PAC ID# 4688767650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467676676 |
| PAC ID by PECOS | 4688767650 |
| Professional Enrollment ID | I20070906000796 |
| Full Name | Jess H Youngblood |
| Organization Legal Name | PREMIER FAMILY CARE ARAB LLC |
| Address |
20 S Main St Arab AL 35016-1394 |
| Phone Number | 2565862324 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 1658671839 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010005 | MARSHALL MEDICAL CENTERS |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 S Main St, Arab, AL 35016-1394 | 2565862324 | PREMIER FAMILY CARE ARAB LLC |
| 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2565822324 | PREMIER FAMILY CARE, LLC |
| 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 | % |
| Organization Legal Name | PREMIER FAMILY CARE ARAB LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Paul Mizelle | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Kimberly J Self | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Jonathan A Dean | Family Medicine | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Kristy Holley | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Street Address |
20 S MAIN ST |
| City | ARAB |
| State | AL |
| Zip | 35016-1394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Garbus | Podiatry | 20 S Main St, Spring Valley, NY 10977-4913 | |
| John Paul Mizelle | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Kimberly J Self | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Jonathan A Dean | Family Medicine | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Kristy Holley | Nurse Practitioner | Premier Family Care Arab LLC | 20 S Main St, Arab, AL 35016-1394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Charles Mann | Chiropractic | 619 N Brindlee Mountain Pkwy, Arab, AL 35016-1055 | |
| David Kyle Landers | Chiropractic | 1146 N Brindlee Mountain Pkwy, Arab, AL 35016-1063 | |
| John Benton Crider | Family Medicine | 1170 N Main St, Arab, AL 35016-1070 | |
| Robert D Taylor | Family Medicine | 154 S Main St, Arab, AL 35016-1351 | |
| Frank M Freeman | Optometry | Eyecare Associates, Inc. | 7 12th Ave Nw, Arab, AL 35016-1977 |
| Gina R Scott | Optometry | Eyecare Associates, Inc. | 7 12th Ave Nw, Arab, AL 35016-1977 |
| Wendy Gregg | Nurse Practitioner | Rural Urgent Care LLC | 1420 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 |
| Lauren Walls | Nurse Practitioner | Rural Urgent Care LLC | 1420 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 |
| Tina Wood | Nurse Practitioner | Rural Urgent Care LLC | 1420 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 |
| Amy Kelley | Nurse Practitioner | Rural Urgent Care LLC | 1420 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 |
| Find all physicians in zip 35016 | |||
| City | ARAB |
| Zip Code | 35016 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ARAB + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jess H Youngblood.
| 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.