Crystal R Threadgill (NPI# 1528500907, PAC ID# 5294018396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528500907 |
| PAC ID by PECOS | 5294018396 |
| Professional Enrollment ID | I20170216000199 |
| Full Name | Crystal R Threadgill |
| Organization Legal Name | SOUTHERN PSYCHIATRY ASSOCIATES LLC |
| Address |
3737 Government Blvd Suite 404 Mobile AL 36693-4362 |
| Phone Number | 2516021911 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294022174 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 | 2516021911 | SOUTHERN PSYCHIATRY ASSOCIATES LLC |
| Organization Legal Name | SOUTHERN PSYCHIATRY ASSOCIATES LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley J Sadler | Psychiatry | Southern Psychiatry Associates LLC | 3501 Gulf Shores Pkwy, Suite 6a, Gulf Shores, AL 36542-5712 |
| Douglas D Dodd | Nurse Practitioner | Southern Psychiatry Associates LLC | 3501 Gulf Shores Pkwy, Suite 6a, Gulf Shores, AL 36542-5712 |
| Nathan S Baughn | Clinical Social Worker | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Valerie V Schofield | Nurse Practitioner | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Miranda Goodwin | Clinical Social Worker | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Street Address |
3737 GOVERNMENT BLVD SUITE 404 |
| City | MOBILE |
| State | AL |
| Zip | 36693-4362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan S Baughn | Clinical Social Worker | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Valerie V Schofield | Nurse Practitioner | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Miranda Goodwin | Clinical Social Worker | Southern Psychiatry Associates LLC | 3737 Government Blvd, Suite 404, Mobile, AL 36693-4362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Kline | Clinical Psychologist | 5406 Spring Dr, Mobile, AL 36693-2724 | |
| Savannah Marie Collier | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 3145 Knollwood Dr, Mobile, AL 36693-2762 |
| Michael J Chenoweth | Chiropractic | 2316 Knollwood Dr, Suite 5, Mobile, AL 36693-3120 | |
| Tina Louise Jackson | Psychiatry | Altapointe Health Systems Inc. | 5800 Southland Dr, Mobile, AL 36693-3313 |
| Brentley W Hall | Occupational Therapy | Hall Therapy Services, LLC | 3656 Government Blvd F, Mobile, AL 36693-4305 |
| Paul A Mavrakos | Physical Therapy | Hall Therapy Services, LLC | 3656 Government Blvd F, Mobile, AL 36693-4305 |
| Virupaksha Kothandapani | Clinical Psychologist | 3263 Demetropolis Rd, Mobile, AL 36693-4638 | |
| Jason K Riemann | Chiropractic | 3956 Government Blvd, Mobile, AL 36693-4723 |
| City | MOBILE |
| Zip Code | 36693 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOBILE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal R Threadgill.
| 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.