Vance Gerald Blackburn (NPI# 1720068463, PAC ID# 7810994290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720068463 |
| PAC ID by PECOS | 7810994290 |
| Professional Enrollment ID | I20100825000156 |
| Full Name | Vance Gerald Blackburn |
| Organization Legal Name | NORTH SHELBY FAMILY HEALTH |
| Address |
2520 Valleydale Rd Birmingham AL 35244-2019 |
| Phone Number | 2059809944 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981623006 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010016 | SHELBY BAPTIST MEDICAL CENTER |
| 010104 | GRANDVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2520 Valleydale Rd, Birmingham, AL 35244-2019 | 2059809944 | NORTH SHELBY FAMILY HEALTH |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | NORTH SHELBY FAMILY HEALTH |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Owen Moore | Family Medicine | North Shelby Family Health | 2520 Valleydale Rd, Birmingham, AL 35244-2019 |
| Nicole Speegle | Nurse Practitioner | North Shelby Family Health | 2520 Valleydale Rd, Birmingham, AL 35244-2019 |
| Street Address |
2520 VALLEYDALE RD |
| City | BIRMINGHAM |
| State | AL |
| Zip | 35244-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Owen Moore | Family Medicine | North Shelby Family Health | 2520 Valleydale Rd, Birmingham, AL 35244-2019 |
| Nicole Speegle | Nurse Practitioner | North Shelby Family Health | 2520 Valleydale Rd, Birmingham, AL 35244-2019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Bullock | Family Practice | 430 Emory Dr, Suite 700, Hoover, AL 35244 | |
| Christine D White | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Mark H Burge | Psychologist, Clinical | Plaza, Suite 115, Hoover, AL 35244 | |
| Lynn S Hammonds | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Bonnie-kim Schwertz | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Victoria H Hines | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Catherine S Amos | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Teresa L Henderson | Physician Assistant | Riverchase Urgent Care | 1924 Montgomery S Hwy, Hoover, AL 35244-1141 |
| Robert E Agee | Family Medicine | 1849 Data Dr, Suite 1, Hoover, AL 35244-1202 | |
| Edwyn L Boyd | Otolaryngology | Hoover Ear, Nose and Throat Associates, P.C. | 2116 Data Park, Birmingham, AL 35244-1203 |
| Find all physicians in zip 35244 | |||
| City | BIRMINGHAM |
| Zip Code | 35244 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BIRMINGHAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vance Gerald Blackburn.
| 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.