PETERSVILLE FAMILY CARE, LLC (NPI# 1477040483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477040483 |
| Entity Type | Organization |
| Organization Name | PETERSVILLE FAMILY CARE, LLC |
| Other Organization Name | PETERSVILLE FAMILY CARE |
| Practice Address |
2929 Cloverdale Rd Florence AL 35633 |
| Mailing Address |
2929 Cloverdale Rd Unit D Florence AL 35633-1505 |
| Practice Telephone | 2563663551 |
| Mailing Telephone | 2562757125 |
| Mailing Fax Number | 2562757254 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | MRS. SUSAN DENISE MILLER (OWNER) |
| Authorized Official Telephone | 2562757125 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1-01128 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | INDIVIDUAL NPI | 1265837769 | 01 |
| Other Name | Type Code |
|---|---|
| Petersville Family Care | Doing Business As Name - Organization |
| Street Address |
2929 CLOVERDALE RD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265837769 | Susan Miller | Nurse Practitioner | 2929 Cloverdale Rd, Florence, AL 35633-1505 | 2014-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814224 | Bama Pool Construction, Inc. | Durable Medical Equipment & Medical Supplies | 3602 Cloverdale Road, Florence, AL 35633 | 2018-09-14 |
| 1356417927 | Leonard Hugh Vanhorn | Chiropractor | 501 Cr 279, Florence, AL 35633 | 2006-11-27 |
| 1962993691 | Alabama Chiropractic Spine & Joint Clinic | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633 | 2018-05-29 |
| 1285931758 | James Wesley Hamilton Jr. | Nurse Practitioner | 3500 Cloverdale Rd, Florence, AL 35633 | 2011-02-18 |
| 1780856781 | Inkyung Kim Santiago | Internal Medicine | 11348 Highway 20, Florence, AL 35633 | 2008-03-31 |
| 1972793263 | Central Family Clinic, Inc | Family Medicine | 11348 Highway 20, Florence, AL 35633 | 2007-08-01 |
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| 1730573445 | Anthony R White | Occupational Therapy Assistant | 123 White Oak Ln, Florence, AL 35633-1015 | 2015-03-20 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| 1184927568 | Bailey Russell Carroll | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633-1137 | 2010-12-07 |
| Find all providers in zip 35633 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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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.