PHYSICIAN MANAGEMENT SERVICES OF ALABAMA LLC (NPI# 1568901742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568901742 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN MANAGEMENT SERVICES OF ALABAMA LLC |
| Practice Address |
126 Clinic Dr Dothan AL 36303-1980 |
| Mailing Address |
3113 Lawton Rd Suite 250 Orlando FL 32803-3531 |
| Practice Telephone | 8888298550 |
| Mailing Telephone | 8888298550 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | BRETT KENEFICK (PRESIDENT) |
| Authorized Official Telephone | 4077548723 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19199 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
126 CLINIC DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775807 | Aubrey Lee Scott | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2005-10-28 |
| 1407205404 | Delancey Fowler | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2016-06-09 |
| 1679985055 | James Bradley Addison | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-05-20 |
| 1053731216 | Kristine Campbell Sawyer | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-04-25 |
| 1437571627 | Tera R. Knighton | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-01-08 |
| 1841557204 | Allison Elizabeth Walker | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-04-23 |
| 1497021414 | Lisa M Hicks | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-03-23 |
| 1407174626 | Cassandra Stein Nosser | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2010-05-12 |
| 1013246594 | Lesley Cathryn Marsal | Psychologist | 126 Clinic Dr, Dothan, AL 36303-1980 | 2009-12-14 |
| 1538320825 | Alison Virginia Winstead | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
|---|---|---|---|---|
| 1255876181 | Houston County Healthcare Authority | Family Medicine | 4550 W Main St, Suite 1, Dothan, AL 36305-1130 | 2017-01-02 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1124271580 | Right Choice Family Practice | Family Medicine | 290 Healthwest Dr Ste 1, Dothan, AL 36303-2051 | 2008-10-29 |
| 1942466073 | Brandy M. Bodiford | Family Medicine | 4550 W Main St Ste 1, Dothan, AL 36305-1130 | 2008-07-29 |
| 1598833667 | Sam R Banner | Family Medicine | 1435 W Main St, Dothan, AL 36301-1311 | 2006-11-30 |
| 1053406777 | Catherine Teresa James - Peters | Family Medicine | 4126 W Main St, Dothan, AL 36305-9310 | 2006-10-04 |
| 1235238635 | Wiregrass Family Practice of Dothan PC | Family Medicine | 1836 W Main St, Dothan, AL 36301-1320 | 2006-09-22 |
| 1083714042 | James S Sullivan M.d. Pa | Family Medicine | 4300 Main St W, Suite 16, Dothan, AL 36301-1098 | 2006-09-22 |
| 1528161015 | James A Robeson | Family Medicine | 207 W Adams Street, Covenant Hospice, Dothan, AL 36303 | 2006-09-07 |
| 1508893116 | Homer Leon Lassiter Jr. | Family Medicine | 500 Healthwest Drive, Dothan, AL 36303 | 2006-06-27 |
| Find all providers in DOTHAN | ||||
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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.