Hannah Garnett (NPI# 1164907978, PAC ID# 4486993169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164907978 |
| PAC ID by PECOS | 4486993169 |
| Professional Enrollment ID | I20190223000048 |
| Full Name | Hannah Garnett |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Address |
201 A Longwood Dr Se Huntsville AL 35801-2742 |
| Phone Number | 8503223376 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931277233 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1543 Professional Pkwy, Auburn, AL 36830-2858 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| 201 A Longwood Dr Se, Huntsville, AL 35801-2742 | 8503223376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
| Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
| John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
| Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
| Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
| Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
| Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
| Dawn M Hansen | Dermatology | Southeastern Dermatology Group Pa | 2550 Pass Rd, Biloxi, MS 39531-2726 |
| Street Address |
201 A LONGWOOD DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip | 35801-2742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelbi R Carpenter | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| Robert Wayne Calcote | Dermatology | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| Tiffany Jeanne Wimsatt | Physician Assistant | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Gordon Mcmurray | Urology | 303 Williams Sw Ave, Suite 411, Huntsville, AL 35801 | |
| Peter S Wilson | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Diane C Winters | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Philip K. Wiles | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Raymond L Sheppard Jr. | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Clinton Scott Williams | Family Medicine | 420 Lowell Sedr, Suite 107, Huntsville, AL 35801 | |
| John H Lary | Internal Medicine | 600 St Clair Ave Sw, Bldg G Suite 12b, Huntsville, AL 35801 | |
| Bala M Chennupati | Internal Medicine | 250 Chateau Swdr, Suite 220, Huntsville, AL 35801 | |
| Daniel Boyett | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Manmohan K Ghanta | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Find all physicians in zip 35801 | |||
| City | HUNTSVILLE |
| Zip Code | 35801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HUNTSVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.