KOLBE CLINIC LLC (NPI# 1841675865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841675865 |
| Entity Type | Organization |
| Organization Name | KOLBE CLINIC LLC |
| Practice Address |
1830 Montclair Rd Ste A Irondale AL 35210 |
| Mailing Address |
1830 Montclair Rd Ste A Irondale AL 35210-2645 |
| Practice Telephone | 2057750300 |
| Practice Fax Number | 2056189706 |
| Mailing Telephone | 2056189899 |
| Mailing Fax Number | 2056189706 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. WILLIAM CARL WAINSCOTT II (CEO) |
| Authorized Official Telephone | 2056189899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD.29132 | AL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD.20646 | AL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD.21506 | AL | Allopathic & Osteopathic Physicians |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Foothills Pkwy Ste 113, Chelsea, AL 350438236 | 2056189899 | 2056189706 |
| 13280 County Road 51, Collinsville, AL 359614174 | 2057750300 | 2056189706 |
| 1810 3rd Ave S Ste 101, Jasper, AL 355015399 | 2055121015 | 2056189706 |
| 1830 Montclair Rd Ste A, Irondale, AL 352102645 | 2057750300 | 2056189706 |
| 80 Herren Hill Rd Ste C, Tallassee, AL 360781264 | 2057750300 | 2056189899 |
| 915 22nd Ave, Tuscaloosa, AL 354012328 | 2057641358 | 2056189706 |
| Street Address |
1830 MONTCLAIR RD STE A |
| City | IRONDALE |
| State | AL |
| Zip Code | 35210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890425 | Michelle Knee | Social Worker | 1830 Montclair Rd Ste A, Irondale, AL 35210-2645 | 2020-08-06 |
| 1467012013 | Kayla Gaines | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210-2645 | 2019-06-17 |
| 1710452867 | Deirdre Jill Scott | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210-2645 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| 1659347581 | Natashia Rebecca Conley | Internal Medicine | 1848 Crestwood Blvd, American Family Care Inc, Birmingham, AL 35210 | 2006-02-28 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208389 | Pathway Healthcare Alabama LLC | Family Medicine | 580 Providence Park Dr E Ste 125, Mobile, AL 36695-4614 | 2018-09-13 |
| 1053855122 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2016-12-08 |
| 1558811562 | Pathway Healthcare, LLC | Family Medicine | 20 Hughes Rd Ste 101, Madison, AL 35758-2434 | 2016-10-13 |
| 1932418860 | Henry M Born Md PC | Family Medicine | 3871 Old Us Highway 278 E, Hokes Bluff, AL 35903-7507 | 2010-09-27 |
| 1801121504 | Shedden Pain Relief & Sports Medicine LLC | Family Medicine | 1733 W Main St, Suite 100, Dothan, AL 36301-1330 | 2009-10-14 |
| 1386883643 | Eugene Saiter | Family Medicine | 22765 State Highway 59 S, Robertsdale, AL 36567-3197 | 2009-02-10 |
| 1003967332 | Nancy Tarbox White | Family Medicine | 4525 Colewood Cir Se, Huntsville, AL 35802-1887 | 2007-01-15 |
| 1881787539 | Amhealth Services, Inc | Family Medicine | 616 9th Street South, Birmingham, AL 35233 | 2006-10-02 |
| 1417064536 | Diana W. Warren | Family Medicine | 42030 Highway 195, Suite C, Haleyville, AL 35565 | 2006-08-24 |
| 1952365587 | Donald Bryant Williams | Family Medicine | 1810 3rd Ave S Ste 101, Jasper, AL 35501-5399 | 2006-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KOLBE CLINIC LLC.
| 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.