Kelly Mann (NPI# 1437671823, PAC ID# 8921366121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437671823 |
| PAC ID by PECOS | 8921366121 |
| Professional Enrollment ID | I20171215002591 |
| Full Name | Kelly Mann |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Address |
80 Herren Hill Rd Suite A Tallassee AL 36078-1264 |
| Phone Number | 3342833844 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062408487 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010034 | COMMUNITY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 80 Herren Hill Rd, Suite A, Tallassee, AL 36078-1264 | 3342833844 | COMMUNITY HOSPITAL INC |
| 80 Herren Hill Rd, Tallassee, AL 36078-1264 | 3342833844 | COMMUNITY HOSPITAL INC |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Deray Williams | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1256 |
| Barbara J Watts | Nurse Practitioner | Community Hospital Inc | 115 Herren Hill Rd, Tallassee, AL 36078-1276 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Thomas D Holt | Family Medicine | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Candace R Mangum | Nurse Practitioner | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Street Address |
80 HERREN HILL RD SUITE A |
| City | TALLASSEE |
| State | AL |
| Zip | 36078-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Thomas Deverell Bianchi | Gastroenterology | 80 Herren Hill Rd, Suite E, Tallassee, AL 36078-1254 | |
| Latoya S Clark | Obstetrics/gynecology | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Rebecca Lee Buckalew | Nurse Practitioner | Community Hospital Inc | 80 Herren Hill Rd, Tallassee, AL 36078-1264 |
| Joshua C Waits | Urology | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Paul Caudill Miller | Neurology | Neurology Consultants of Montgomery, PC | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Kenneth W Campbell | Certified Registered Nurse Anesthetist (crna) | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Donald H Dahlene Jr. | Diagnostic Radiology | Radiology Group, P.a. | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Melvin Douglas Russell | Family Medicine | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Find all physicians in zip 36078 | |||
| City | TALLASSEE |
| Zip Code | 36078 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TALLASSEE + NURSE PRACTITIONER |
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| 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.