SOUTHERN RURAL HEALTH CARE CONSORTIUM (NPI# 1700073996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700073996 |
| Entity Type | Organization |
| Organization Name | SOUTHERN RURAL HEALTH CARE CONSORTIUM |
| Practice Address |
2112 6th Avenue Se Decatur AL 35601-0000 |
| Mailing Address |
104 Physicians Drive Suite B Muscle Shoals AL 35661-0000 |
| Practice Telephone | 2563401251 |
| Practice Fax Number | 2563530179 |
| Mailing Telephone | 2563813308 |
| Mailing Fax Number | 2563811869 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MRS. MARGARET S LOVETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2563813308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1068168 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083801278 | Southern Rural Health Care Consortium | Nurse Practitioner | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| 1437346624 | Southern Rural Health Care Consortium | Family Medicine | 15225 Hwy 43 Bypass, Russellville, AL 35653-0000 | 2007-10-02 |
| 1508938200 | Southern Rural Health Care Consortium | Clinic/Center | 16410 Hwy 72, Rogersville, AL 35652 | 2006-11-15 |
| 1861577900 | Southern Rural Health Care Consortium | Clinic/Center | 508 St Claire Se, Russellville, AL 35653 | 2006-10-26 |
| 1225049828 | Southern Rural Health Care Consortium | Home Health | 508 Saint Clair St Se, Russellville, AL 35653-2720 | 2006-08-10 |
| 1619164803 | Southern Rural Health Care Consortium | Family Medicine | 68 Marco Dr, Decatur, AL 35603-0000 | 2007-10-02 |
| 1255528444 | Southern Rural Health Care Consortium | Pediatrics | 2112 6th Avenue Se, Decatur, AL 35601-0000 | 2007-10-02 |
| 1265629455 | Southern Rural Health Care Consortium | Nurse Practitioner | 1841 Al Hwy 20, Town Creek, AL 35672-0369 | 2007-10-02 |
| 1891982088 | Southern Rural Health Care Consortium | Nurse Practitioner | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| 1528255718 | Southern Rural Health Care Consortium | Family Medicine | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| Street Address |
2112 6TH AVENUE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255528444 | Southern Rural Health Care Consortium | Pediatrics | 2112 6th Avenue Se, Decatur, AL 35601-0000 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| 1407489479 | Marathon Health LLC | Nurse Practitioner | 152 Ipsco St, Decatur, AL 35601-7412 | 2020-02-19 |
| 1518502475 | Marissa Lynne Henderson | Nurse Practitioner | 609 Medical Center Dr Ste 2700, Decatur, TX 76234-3839 | 2019-11-14 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1164907242 | Megan Skelley | Nurse Practitioner | 487 Winn Way Ste 202, Decatur, GA 30030-1728 | 2018-09-25 |
| 1508359969 | Rebecca A Voyles | Nurse Practitioner | 575 W Hay St, Decatur, IL 62526-4164 | 2018-06-11 |
| 1598278558 | Vera Mahou | Nurse Practitioner | 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 | 2017-11-13 |
| 1346753738 | Alexis Renee Graven | Nurse Practitioner | 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | 2017-11-08 |
| 1508240409 | Zachary Pitts | Nurse Practitioner | 2606 Woodridge Dr, Decatur, GA 30033-4835 | 2015-07-10 |
| 1891063095 | Alexis E. Daugherty | Nurse Practitioner | 603 Church St, Decatur, GA 30030-2517 | 2011-12-02 |
| Find all providers in DECATUR | ||||
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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.