A HEARTBEAT AWAY (NPI# 1710361829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710361829 |
| Entity Type | Organization |
| Organization Name | A HEARTBEAT AWAY |
| Practice Address |
1416 6th Ave Se Decatur AL 35601-4247 |
| Practice Telephone | 2563331997 |
| Practice Fax Number | 2563335007 |
| Mailing Telephone | 2563331997 |
| Mailing Fax Number | 2563335007 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MRS. KIMBERLY SAMUEL (PRESIDENT) |
| Authorized Official Telephone | 2563331997 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | R009070220 | AL | Managed Care Organizations |
| Street Address |
1416 6TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4247 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730432147 | It's About You & Me, LLC | Point of Service | 2478 Dawn Dr, Decatur, GA 30032-6347 | 2012-10-23 |
| 1386795805 | South Dekalb Dental Center LLC | Point of Service | 2853 Candler Rd, Suite 101, Decatur, GA 30034-1433 | 2007-01-12 |
| 1215592431 | Ego Ideal, Inc. | Point of Service | 4484 Covington Hwy, Decatur, GA 30035-1203 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197861 | O.b. Jackson Inc | Point of Service | 14001 Highway 43 Ste 15, Russellville, AL 35653-2849 | 2018-03-15 |
| 1164973871 | Senior Solutions Management Service | Point of Service | 1274 Hutson Dr, Suite C, Mobile, AL 36609-1317 | 2016-10-18 |
| 1659687564 | Helping Hands In Home Care LLC | Point of Service | 302 Adams Creek Rd, Chancellor, AL 36316-4806 | 2010-08-30 |
| 1962590174 | Signature In-home Care, Inc. | Point of Service | 1400 Commerce Blvd Ste 26, Anniston, AL 36207-9455 | 2006-10-11 |
| 1952843450 | Integrity Family Care North Alabama LLC | Point of Service | 1041 Balch Rd Ste 300, Madison, AL 35758-8822 | 2016-11-15 |
| 1295286300 | Mulberry Medical, LLC | Point of Service | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2016-10-24 |
| 1144673740 | Outpatient Physical Therapy Simon Williamson Clinic | Point of Service | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2016-07-19 |
| 1770932733 | Healthcare Capital Management | Point of Service | 426 School St, Cordova, AL 35550-6000 | 2016-06-09 |
| 1558719278 | Riteaid | Point of Service | 506 E Church St, Atmore, AL 36502-2626 | 2016-06-03 |
| 1922485150 | Doctors Making Home Visits | Point of Service | 5801 Eastdale Dr, Montgomery, AL 36117-2158 | 2015-04-27 |
| Find all providers with the same taxonomy | ||||
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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.