CULLMAN REGIONAL MEDICAL CENTER PHYSICIAN GROUP (NPI# 1518447622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518447622 |
| Entity Type | Organization |
| Organization Name | CULLMAN REGIONAL MEDICAL CENTER PHYSICIAN GROUP |
| Practice Address |
1912 Al Highway 157 Cullman AL 35058-0609 |
| Mailing Address |
P.o. Box 1108 Cullman AL 35056-1108 |
| Practice Telephone | 2567355041 |
| Practice Fax Number | 2567372050 |
| Mailing Telephone | 2567372081 |
| Mailing Fax Number | 2567372050 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MRS. NESHA DONALDSON (CFO) |
| Authorized Official Telephone | 2567372598 |
| Is Organization Subpart | Y |
| Parent Organization Name | CULLMAN REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1912 AL HIGHWAY 157 |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523617 | Edward F. Mahan | Internal Medicine | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2005-07-27 |
| 1972118172 | Sonya Peters | Pharmacist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-09-14 |
| 1023642568 | Cullman Regional Medical Group Hospitalists LLC | Hospitalist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-02-24 |
| 1467083675 | Crmcmedical Group LLC | Clinic/Center | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-28 |
| 1780224931 | Melanie Tubbs | Dietitian, Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-15 |
| 1700443439 | Brittney N Alexander | Nurse Anesthetist, Certified Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2019-05-29 |
| 1992362859 | Samantha Jo Phillips | Nurse Anesthetist, Certified Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2019-05-24 |
| 1124598842 | Daphne Sabrina Berry | Nurse Practitioner | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2018-11-26 |
| 1912495557 | Emily Johnson | Pharmacist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2018-04-30 |
| 1780126243 | Metta Smith | Clinical Nurse Specialist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-11-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| 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 |
|---|---|---|---|---|
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1235248097 | Patrick S. Baldwin | Family Medicine | 1912 Alabama Highway 157, Cullman, AL 35055 | 2006-08-29 |
| 1881676930 | Gerald M Machen | Family Medicine | 1948 Al Highway 157 Ste 101, Cullman, AL 35058-0642 | 2005-11-15 |
| 1780665703 | Angelia H Elliott | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2005-11-08 |
| 1902893233 | Hobert J Sharpton Jr. | Family Medicine | 1800 Al Highway 157, Suite 101, Cullman, AL 35058-1271 | 2005-10-03 |
| 1467457507 | Henry S Beeler | Family Medicine | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2005-06-16 |
| 1598284739 | Haley Elizabeth Mabrey | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2017-09-19 |
| 1043735707 | Family Medicine of Cullman | Family Medicine | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2017-08-03 |
| 1134656556 | Justin Rushing | Family Medicine | 1800 Al Highway 157, Cullman, AL 35058-1271 | 2017-05-16 |
| 1174977383 | Brian Parker | Family Medicine | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2016-04-14 |
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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.