Angela L Carroll Brock (NPI# 1922525435, PAC ID# 9638434772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1922525435 |
PAC ID by PECOS | 9638434772 |
Professional Enrollment ID | I20180521001418 |
Full Name | Angela L Carroll Brock |
Organization Legal Name | NORTHWEST ALABAMA MENTAL HEALTH CENTER |
Address |
141 2nd Ave Nw Vernon AL 35592-5765 |
Phone Number | 2053029000 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0749181998 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010045 | FAYETTE MEDICAL CENTER |
010086 | NORTHWEST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
141 2nd Ave Nw, Vernon, AL 35592-5765 | 2053029000 | NORTHWEST ALABAMA MENTAL HEALTH CENTER |
Organization Legal Name | NORTHWEST ALABAMA MENTAL HEALTH CENTER |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martha A Rubley | Clinical Social Worker | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Paula J Sweet | Nurse Practitioner | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Syed R Aftab | Psychiatry | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Kaycia L Vansickle | Psychiatry | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Rachel R Meadors | Nurse Practitioner | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Clyde Mclane | Psychiatry | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Connie E Oden | Clinical Social Worker | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Farrukh Jamil | Psychiatry | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Shelley Y Jones | Clinical Social Worker | Northwest Alabama Mental Health Center | 1100 7th Ave, Jasper, AL 35501-4377 |
Street Address |
141 2ND AVE NW |
City | VERNON |
State | AL |
Zip | 35592-5765 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Powell Berry | Chiropractic | 47776 Hwy 17, Vernon, AL 35592-4257 | |
Ashley Lauren Elizabeth Sudduth | Nurse Practitioner | 1050 Convalescent Rd, Vernon, AL 35592-4823 | |
Jennifer C Josey | Chiropractic | 178 1st Nest, Vernon, AL 35592-5430 | |
Keith Mccoy | Emergency Medicine | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
Crystal A Mccoy | Nurse Practitioner | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
Amber Christine Hattaway | Nurse Practitioner | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
Robert W Davis | Family Medicine | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
James K Richardson | Physical Therapy | 314 Columbus Ave N W, Vernon, AL 35592-5703 |
City | VERNON |
Zip Code | 35592 |
Specialty | NURSE PRACTITIONER |
City + Specialty | VERNON + 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.