John Paul Mizelle (NPI# 1174099279, PAC ID# 9739426321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174099279 |
| PAC ID by PECOS | 9739426321 |
| Professional Enrollment ID | I20190118002655 |
| Full Name | John Paul Mizelle |
| Organization Legal Name | PREMIER FAMILY CARE ARAB LLC |
| Address |
20 S Main St Arab AL 35016-1394 |
| Phone Number | 2565862324 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 20 S Main St, Arab, AL 35016-1394 | 2565862324 | PREMIER FAMILY CARE ARAB LLC |
| Organization Legal Name | PREMIER FAMILY CARE ARAB LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jess H Youngblood | Family Medicine | 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 | |
| Jess H Youngblood | Family Medicine | 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 | NURSE PRACTITIONER |
| City + Specialty | ARAB + 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.