4MD2 IN PATIENT PHYSICIAN SERVICES OF DECATUR LLC (NPI# 1134273345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134273345 |
| Entity Type | Organization |
| Organization Name | 4MD2 IN PATIENT PHYSICIAN SERVICES OF DECATUR LLC |
| Practice Address |
1201 7th St Se Decatur AL 35601-3337 |
| Mailing Address |
1028 Highland Lakes Trce Birmingham AL 35242-6877 |
| Practice Telephone | 2563412909 |
| Practice Fax Number | 2563010053 |
| Mailing Telephone | 2059996209 |
| Mailing Fax Number | 2054081719 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GUY DUWANE HOOPER (PRESIDENT) |
| Authorized Official Telephone | 2059996209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
1201 7TH ST SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036070 | Brian Koonce | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2005-10-06 |
| 1598389116 | Julianna Mize | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-05-29 |
| 1831728302 | Jennifer Leigh Davis | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-04-06 |
| 1316571615 | Decatur Morgan Emergency Medicine | Emergency Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-02-25 |
| 1245791912 | Summer Cole Todd | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-26 |
| 1417416173 | Reagan Robinson Lindsey | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-12 |
| 1639633258 | Brittany Marie Walker | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-01-28 |
| 1144799693 | Jenna Anne Cox Mcgee | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3303 | 2018-11-14 |
| 1093296964 | Delana Cole Clemons | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2018-08-28 |
| 1710409958 | Mrudula Thiriveedi | Internal Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306401534 | Mary Evelyn Hoskins | Contractor | 2a Quail Run, Decatur, GA 30035-4108 | 2019-05-02 |
| 1518422831 | Whitney Tucker | Contractor | 2529 Terrace Trl, Decatur, GA 30035-3514 | 2019-02-01 |
| 1457887614 | Brandon Tatum | Contractor | 4449 Covington Hwy, Decatur, GA 30035-1214 | 2017-05-10 |
| 1740658384 | Tomiko Granada Mcghee | Contractor | 3030 Waldrop Cir, Decatur, GA 30034-6797 | 2015-09-14 |
| 1508004037 | Sandra Ann Parker | Contractor | 3604 Six Oaks Ct, Decatur, GA 30034-4782 | 2009-01-21 |
| 1841323318 | Mmg, LLC | Contractor | 317 Bank St Ne, Decatur, AL 35601-1601 | 2007-03-14 |
| 1821557265 | Latiesha Colise James | Contractor | 2529 Terrace Trl, Decatur, GA 30035-3514 | 2019-03-15 |
| 1356724827 | Christopher Danbury | Contractor | 1184 W Main St, Griswold Physical Education Center, Decatur, IL 62522-2039 | 2015-07-02 |
| 1760659825 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-05-08 |
| 1902077746 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, C/o Sleep Specialties, West Campus, Decatur, TX 76234-3702 | 2008-03-20 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.