BELLAMY CLARISSA DAVIS (NPI# 1649775412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649775412 |
| Entity Type | Individual |
| Full Name | BELLAMY CLARISSA DAVIS |
| Other Name | BELLAMY CLARISSA HAWKINS |
| Credential | PAC |
| Practice Address |
3485 Independence Dr Homewood AL 35209-5603 |
| Practice Telephone | 2059300920 |
| Practice Fax Number | 2054450151 |
| Mailing Telephone | 2059300920 |
| Mailing Fax Number | 2054450151 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.1325 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.1325 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 817 Princeton Ave Sw, Pob 2-118, Birmingham, AL 352111340 | 2059300920 | 2054450115 |
| 985 9th Ave Sw Ste 408, Bessemer, AL 350227809 | 2059300920 | 2054450115 |
| Street Address |
3485 INDEPENDENCE DR |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498370 | Brian J Larson | Radiology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2005-06-21 |
| 1497232458 | Mersadies Berlynn Orr | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-07-23 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1265824395 | David Thomas Gilmore | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2015-02-26 |
| 1275890386 | Tyler Lewis Poston | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2012-04-13 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| 1770710915 | Alison Marie Parden | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2009-06-15 |
| 1073778452 | Michael Eric Brewer Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-07-24 |
| 1427218460 | Austin T Lutz | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-06-12 |
| 1205026846 | Thomas D Holley | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619081171 | Shelley Wilcox Winzeler | Physician Assistant | 1651 Independence Ct, Homewood, AL 35209-4173 | 2006-08-19 |
| 1609259126 | Rao Uppuuluri, M.d.s.c. | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-07-01 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
| 1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
| 1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
| 1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
| 1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
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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.