DR. JOE MACK BANKHEAD (NPI# 1194295832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194295832 |
| Entity Type | Individual |
| Full Name | DR. JOE MACK BANKHEAD |
| Other Name | DR. JOE MACK BVANKHEAD |
| Credential | DR |
| Practice Address |
7199 Beaver Creek Rd Sulligent AL 35586-4603 |
| Practice Telephone | 2056980553 |
| Mailing Telephone | 2056980553 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
20283 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 20283 | 05 |
| Street Address |
7199 BEAVER CREEK RD |
| City | SULLIGENT |
| State | AL |
| Zip Code | 35586-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134537855 | Blue Marble Mobility, LLC | Durable Medical Equipment & Medical Supplies | 55285 Hwy 17, Sulligent, AL 35586 | 2014-07-25 |
| 1972812956 | Shana Lann | Pharmacist | 1386 Walnut Street, Sulligent, AL 35586 | 2010-09-24 |
| 1255661070 | Southern Focus, Inc. | Optometrist | 55292 Hwy 17, Sulligent, AL 35586 | 2009-12-29 |
| 1831423680 | Angela D. Rayburn | Optometrist | 55292 Highway 17, Sulligent, AL 35586 | 2009-09-28 |
| 1124267570 | Vishal Modi | Family Medicine | 478 Elm St, Sulligent, AL 35586 | 2009-02-09 |
| 1962623470 | Mark D. Land | Dentist | 445 Front Street, Sulligent, AL 35586 | 2007-05-01 |
| 1861547689 | North Lamar County Rescue Squad, Inc. | Ambulance | 5797 Hwy 278, Sulligent, AL 35586 | 2007-01-24 |
| 1366469827 | Freds Stores of Tennessee Inc | Pharmacy | 5705 Hwy 278, Sulligent, AL 35586 | 2006-07-17 |
| 1093221772 | Dr Mark D Land Dmd PC | Dentist | 445 Front Street, Sulligent, AL 35586 | 2017-12-18 |
| 1821376831 | Megan Boyett | Pharmacist | 55298 Hwy 17, Sulligent, AL 35586 | 2011-07-25 |
| Find all providers in zip 35586 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710591 | Geoffrey Blake | Counselor | 24682 Chantilly Ln, Daphne, AL 36526-8730 | 2020-01-30 |
| 1306309398 | Shaletta Borders | Counselor | 488 Marvin Parker Rd, Ozark, AL 36360-7204 | 2019-04-08 |
| 1447600770 | Kristina Jackson | Counselor | 5160 Dogwood Trl, Eight Mile, AL 36613-8505 | 2016-06-17 |
| 1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
| 1043696743 | Elaine G. Rasco, Lpc, LLC | Counselor | 4268 Cahaba Heights Ct Ste 190, Vestavia, AL 35243-5711 | 2015-08-04 |
| 1356788913 | Jesse Reece Mitchell | Counselor | 149 Academy Dr, Hamilton, AL 35570-3015 | 2013-05-22 |
| 1508175498 | Betty Jo Penton | Counselor | 103 W Tuskeena St, Wetumpka, AL 36092-2420 | 2010-09-27 |
| 1801114780 | Pine Hill Counseling and Consulting, LLC | Counselor | 600 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2113 | 2010-05-17 |
| 1073845145 | Peggy Sanderford Ponder | Counselor | 2117 University Blvd, Birmingham, AL 35233-3107 | 2010-02-01 |
| 1043456981 | Jacky Beck | Counselor | 1511a Rainbow Dr, Gadsden, AL 35901-5370 | 2008-12-24 |
| Find all providers with the same taxonomy | ||||
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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.