Brent Mortensen (NPI# 1316308307, PAC ID# 5092014563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316308307 |
| PAC ID by PECOS | 5092014563 |
| Professional Enrollment ID | I20160504002347 |
| Full Name | Brent Mortensen |
| Organization Legal Name | SOUTHERN NP ASSOCIATES LLC |
| Address |
611 W Market St Athens AL 35611-2460 |
| Phone Number | 2053437300 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557686243 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 611 W Market St, Athens, AL 35611-2460 | 2053437300 | SOUTHERN NP ASSOCIATES LLC |
| 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2567372000 | ISLAND MEDICAL PERSEUS LLC |
| 6727 Hwy 431 S, Suite L, Owens Cross Roads, AL 35763-9226 | 2565648900 | HUNTER PATTERSON, LLC |
| Organization Legal Name | SOUTHERN NP ASSOCIATES LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline G Jones | Nurse Practitioner | Southern Np Associates LLC | 1825 Holtville Rd, Wetumpka, AL 36092-8211 |
| Shawn M Geohagan | Family Medicine | Southern Np Associates LLC | 206 S Palmer Ave, Georgiana, AL 36033-3300 |
| Misty Barrow | Nurse Practitioner | Southern Np Associates LLC | 142 W 3rd St, Luverne, AL 36049-1348 |
| Lindsay Handley | Nurse Practitioner | Southern Np Associates LLC | 70 Highland W St, Cordova, AL 35550-1416 |
| Nancy S Barnette | Nurse Practitioner | Southern Np Associates LLC | 4010 Chris Swdr, Huntsville, AL 35802-4189 |
| Deborah K Capshaw | Nurse Practitioner | Southern Np Associates LLC | 2218 W 32nd St, Joplin, MO 64804-3514 |
| Lorra Leecy Hyland | Nurse Practitioner | Southern Np Associates LLC | 3141 Old Columbiana Rd, Hoover, AL 35226-3703 |
| Lisa Phillips | Nurse Practitioner | Southern Np Associates LLC | 30 7th St, Pleasant Grove, AL 35127-1962 |
| Molly E Mcgowan | Nurse Practitioner | Southern Np Associates LLC | 2201 Mcfarland Blvd, Northport, AL 35476-2943 |
| Claudia L Acreman | Nurse Practitioner | Southern Np Associates LLC | 5968 Wall Triana Hwy, Madison, AL 35757-7200 |
| Street Address |
611 W MARKET ST |
| City | ATHENS |
| State | AL |
| Zip | 35611-2460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonia L Fitzgerald | Psychiatry | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Tracy Lynn Pool | Family Medicine | 611 W Market St, Athens, AL 35611-0001 | |
| Sarah L Wise | Nurse Practitioner | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Erin E Lane Orentlikher | Clinical Social Worker | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Kimberly A Heishman-donahue | Clinical Social Worker | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Amy L Wagner | Clinical Social Worker | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Deanna Christian | Clinical Social Worker | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Gina M Laterza | Clinical Social Worker | Pastoral Counseling Service of Summit County | 611 W Market St, Akron, OH 44303-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert H Scherff | Preventative Medicine | 902 W Hobbs St, Athens, AL 35611-1412 | |
| Stanley F Smallwood | Nurse Practitioner | 910 W Hobbs St, Athens, AL 35611-1412 | |
| Eduardo Bazan Lavanda | Internal Medicine | 205 Sanders St, Athens, AL 35611-1419 | |
| Shashanna Ndong | Internal Medicine | Valley Internal Medicine | 710 W Hobbs St, Athens, AL 35611-1508 |
| Paul E Noel | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Cassidy J Koonce | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Seth D Rayburn | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Lorie M Hedgepeth | Chiropractic | 613 E Hobbs St, Athens, AL 35611-2150 | |
| Nancy D Mcdonald | Clinical Social Worker | Foundations Counseling Center, Inc. | 100 Hine S St, Athens, AL 35611-2302 |
| Noemi Vorhis | Clinical Social Worker | Foundations Counseling Center, Inc. | 100 Hine S St, Athens, AL 35611-2302 |
| Find all physicians in zip 35611 | |||
| City | ATHENS |
| Zip Code | 35611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATHENS + 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.