Charles D. Coffey
CRESTWOOD PHYSICIAN SERVICES, LLC


Address: 12100 County Line Rd, Suite A2, Madison, AL 35756-2006
Phone: 2563256722

Charles D. Coffey (NPI# 1093701849, PAC ID# 7416083464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1093701849
PAC ID by PECOS 7416083464
Professional Enrollment ID I20100824000131
Full Name Charles D. Coffey
Organization Legal Name CRESTWOOD PHYSICIAN SERVICES, LLC
Address 12100 County Line Rd
Suite A2
Madison
AL 35756-2006
Phone Number 2563256722
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3476735648
Number of Group Practice Members 19
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010131 CRESTWOOD MEDICAL CENTER
010059 LAWRENCE MEDICAL CENTER
010039 HUNTSVILLE HOSPITAL
010085 DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
010079 ATHENS LIMESTONE HOSPITAL

Other Locations

Address Phone Organization
4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 CRESTWOOD PHYSICIAN SERVICES, LLC
12100 County Line Rd, Suite A2, Madison, AL 35756-2006 2563256722 CRESTWOOD PHYSICIAN SERVICES, LLC

Organization Information

Organization Legal Name CRESTWOOD PHYSICIAN SERVICES, LLC
Physicians 22

Physicians with the same organization

Name Specialty Organization Address
Kimberley Brooke Tanner Nurse Practitioner Crestwood Physician Services, LLC 2506 Danville Rd Sw, Suite 204b, Decatur, AL 35603-4234
Mylena Morton Internal Medicine Crestwood Physician Services, LLC 8121 Madison Blvd, Suite 101a, Madison, AL 35758-2082
Carisa F Sparks Nurse Practitioner Crestwood Physician Services, LLC 11365 Hwy 231 431 N, Meridianville, AL 35759-2145
David R Mayer Family Medicine Crestwood Physician Services, LLC 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420
Bhavna Sharma Family Medicine Crestwood Physician Services, LLC 102 Essex Ct, Suite C, Madison, AL 35758-3161
Jenny C Chapman Family Medicine Crestwood Physician Services, LLC 10300 Bailey Cove Rd Se, Suite 13, Huntsville, AL 35803-2635
Amber J Whitfield Family Medicine Crestwood Physician Services, LLC 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420
Valerie L Wright Family Medicine Crestwood Physician Services, LLC 1650 Slaughter Rd, Suite A, Madison, AL 35758-8610
Mary E Barry Nurse Practitioner Crestwood Physician Services, LLC 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420
Yari Campbell Family Medicine Crestwood Physician Services, LLC 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420

Office Location

Street Address 12100 COUNTY LINE RD
SUITE A2
City MADISON
State AL
Zip 35756-2006

Physicians in the same location

Name Specialty Organization Address
Pauletta D Caylor Nurse Practitioner Crestwood Physician Services, LLC 12100 County Line Rd, Suite A2, Madison, AL 35756-2006

Physicians in the same zip code

Name Specialty Organization Address
William W Cobb Optometry 12090 County Line Rd, Madison, AL 35756-2002
Ross Summerford Family Medicine Community Urgent Care of Madison Inc 30694 Us Hwy 72, Madison, AL 35756-3229
Elena Allman Family Medicine Community Urgent Care of Madison Inc 30694 Us Hwy 72, Madison, AL 35756-3229
Neil C Yeager Family Medicine Community Urgent Care of Madison Inc 30694 Us Hwy 72, Madison, AL 35756-3229

Competitor

Search similar physicians

City MADISON
Zip Code 35756
Specialty FAMILY MEDICINE
City + Specialty MADISON + FAMILY MEDICINE

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Dataset Information

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.

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