Active NPI 1043209703 Individual Practitioner Male Practitioner

Dr. Joel T Johns , MD

Internal Medicine • Cullman, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joel Johns, MD is a certified Internal Medicine practicing in Cullman, AL. With approximately 25 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2001, Dr. Johns delivers high-quality medical care to the local community at 2035 AL HIGHWAY 157.

Dr. Johns is affiliated with Internal Medicine Associates Of Cullman, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2035 Al Highway 157

Cullman, AL 350580687

Telephone 2568874996

Fax 8778032404

Associated Practice Facility / Clinic

🏢 Internal Medicine Associates Of Cullman Pc Facility NPI 1982079414

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cullman, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.9 yrs vs City Avg

City Avg: 18.1 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

25 Specialists

Practicing in Cullman, AL (1784 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johns (25 Years) 25 Yrs

Cullman Specialty Average (18.1 Years) 18.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	456	233	$245.00	$163.42
36415 Insertion of needle into vein for collection of blood sample	391	249	$10.55	$8.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	273	183	$25.00	$15.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	209	209	$150.00	$117.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	128	$175.00	$117.11
83036 Hemoglobin A1C level	95	60	$17.00	$9.52
90662 Influenza vaccine split virus, preservative free	63	63	$86.98	$79.49
G0008 Administration of influenza virus vaccine	61	60	$35.00	$29.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	19	$35.00	$12.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	20	$75.00	$48.38
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	13	$60.00	$37.59
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$310.00	$289.45
G0009 Administration of pneumococcal vaccine	21	21	$35.00	$29.46
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$53.00	$12.81
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	16	14	$60.94	$29.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	14	$75.00	$32.80
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$120.00	$82.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	408	220	$229.85	$165.42
36415 Insertion of needle into vein for collection of blood sample	364	243	$9.79	$8.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	181	$148.01	$118.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	210	$150.00	$120.38
83036 Hemoglobin A1C level	108	72	$17.00	$9.43
G0008 Administration of influenza virus vaccine	63	63	$35.00	$28.50
90662 Influenza vaccine split virus, preservative free	63	63	$79.76	$70.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	19	$142.85	$112.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	21	$35.00	$13.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	33	$75.00	$48.34
G0009 Administration of pneumococcal vaccine	24	24	$35.00	$27.31
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	13	$60.00	$37.99
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$300.00	$270.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	17	$275.00	$164.80
99239 Hospital discharge day management, more than 30 minutes	19	16	$155.79	$108.09
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	14	$60.88	$30.40
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$53.00	$13.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	472	289	$6.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	231	$145.00	$121.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	360	201	$209.58	$171.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$150.00	$123.74
83036 Hemoglobin A1C level	131	91	$17.00	$9.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	17	$142.00	$97.59
G0008 Administration of influenza virus vaccine	66	66	$35.00	$27.36
90662 Influenza vaccine split virus, preservative free	63	63	$75.00	$68.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	19	$35.00	$13.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	11	$8.00	$1.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	32	$74.43	$49.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	24	$58.24	$38.34
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	24	22	$75.00	$34.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	19	$275.00	$189.26
99239 Hospital discharge day management, more than 30 minutes	23	18	$155.00	$99.66
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$53.00	$13.46
G0009 Administration of pneumococcal vaccine	11	11	$35.00	$27.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	593	340	$6.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	273	$145.03	$124.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$150.22	$127.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	226	156	$200.00	$174.57
83036 Hemoglobin A1C level	157	110	$17.00	$9.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	25	$142.00	$100.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	37	$35.00	$13.48
G0008 Administration of influenza virus vaccine	69	69	$25.00	$15.86
90662 Influenza vaccine split virus, preservative free	66	66	$72.88	$65.20
93793 Anticoagulant management of patient taking warfarin	63	11	$20.00	$11.00
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	58	23	$55.00	$38.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	58	19	$8.00	$1.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	17	$55.00	$37.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	38	$70.00	$50.43
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$118.33	$87.82
99239 Hospital discharge day management, more than 30 minutes	35	30	$155.00	$102.92
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	34	30	$74.26	$35.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	30	$275.00	$194.83
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$53.00	$14.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$180.33	$161.82
G0009 Administration of pneumococcal vaccine	11	11	$25.00	$15.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	648	366	$6.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	581	317	$145.13	$103.79
83036 Hemoglobin A1C level	172	107	$17.00	$9.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	170	$151.15	$110.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	146	37	$55.00	$38.54
85610 Blood test, clotting time	124	14	$10.06	$4.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	37	$35.00	$13.54
93793 Anticoagulant management of patient taking warfarin	107	14	$20.00	$11.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	81	$200.00	$139.12
99443 Telephone medical discussion with physician, 21-30 minutes	88	84	$66.25	$63.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	86	86	$214.19	$163.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	85	21	$8.00	$1.96
G0008 Administration of influenza virus vaccine	57	57	$25.00	$15.61
90662 Influenza vaccine split virus, preservative free	54	54	$64.91	$60.96
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	52	23	$55.00	$38.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	34	$70.00	$50.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	33	$275.00	$197.62
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$100.00	$70.06
G0009 Administration of pneumococcal vaccine	29	29	$25.00	$15.55
99239 Hospital discharge day management, more than 30 minutes	25	23	$155.00	$103.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$275.00	$192.35
99238 Hospital discharge day management, 30 minutes or less	20	20	$100.00	$71.31
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$53.00	$16.09
J1040 Injection, methylprednisolone acetate, 80 mg	17	14	$15.00	$11.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	12	$142.00	$102.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$127.50	$117.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$100.00	$70.66
90670 Pneumococcal vaccine for injection into muscle	13	13	$246.15	$227.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$180.00	$160.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	732	375	$6.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	699	319	$145.01	$101.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$150.00	$108.99
83036 Hemoglobin A1C level	154	99	$17.00	$10.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	96	$200.00	$137.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	45	$35.00	$15.54
85610 Blood test, clotting time	133	17	$10.00	$4.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	31	$55.00	$37.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	95	18	$8.00	$1.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	75	75	$275.00	$194.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg	71	12	$1.00	$0.11
93793 Anticoagulant management of patient taking warfarin	59	15	$20.00	$11.41
G0008 Administration of influenza virus vaccine	57	57	$25.00	$15.30
90662 Influenza vaccine split virus, preservative free	56	56	$60.00	$54.80
G0009 Administration of pneumococcal vaccine	31	31	$25.00	$15.30
99238 Hospital discharge day management, 30 minutes or less	29	27	$100.00	$69.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	25	$70.00	$49.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	21	$100.00	$69.46
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$53.00	$15.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$275.00	$193.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	12	$55.00	$38.35
90670 Pneumococcal vaccine for injection into muscle	25	25	$225.00	$210.22
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$100.00	$69.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$185.00	$130.44
J1040 Injection, methylprednisolone acetate, 80 mg	19	17	$14.42	$11.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$183.68	$156.03
99239 Hospital discharge day management, more than 30 minutes	15	15	$155.00	$102.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$215.00	$161.49
99217 Hospital observation care on day of discharge	11	11	$100.00	$69.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	591	299	$6.00	$2.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	272	$145.00	$99.37
83036 Hemoglobin A1C level	166	92	$17.00	$11.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	164	115	$200.00	$133.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	35	$35.00	$18.84
85610 Blood test, clotting time	88	11	$10.00	$4.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$150.00	$108.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	19	$55.00	$37.10
90662 Influenza vaccine split virus, preservative free	61	61	$57.38	$52.23
G0008 Administration of influenza virus vaccine	61	61	$25.00	$18.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	59	14	$8.00	$1.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$275.00	$186.23
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$100.00	$67.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	23	$100.00	$68.89
G0009 Administration of pneumococcal vaccine	30	29	$25.00	$18.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	13	$55.00	$38.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	20	$70.00	$49.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	17	$275.00	$191.81
99238 Hospital discharge day management, 30 minutes or less	19	17	$100.00	$68.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$185.00	$129.26
90670 Pneumococcal vaccine for injection into muscle	16	16	$225.00	$201.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$215.00	$160.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$111.79	$103.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	506	240	$6.00	$2.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	499	209	$142.17	$98.07
83036 Hemoglobin A1C level	134	76	$17.00	$12.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	76	$195.04	$132.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	79	79	$266.37	$186.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	23	$50.93	$37.11
G0008 Administration of influenza virus vaccine	72	70	$25.14	$23.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	37	$95.23	$68.47
90662 Influenza vaccine split virus, preservative free	65	65	$50.00	$46.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	30	$34.32	$23.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$137.41	$107.16
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$94.42	$66.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	23	$137.21	$98.79
99238 Hospital discharge day management, 30 minutes or less	29	21	$95.03	$66.11
G0009 Administration of pneumococcal vaccine	27	27	$25.00	$23.04
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	27	27	$25.00	$20.59
90670 Pneumococcal vaccine for injection into muscle	26	26	$225.00	$187.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	12	$55.00	$38.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	19	$261.67	$191.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	16	$179.29	$123.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$70.00	$49.80
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$53.00	$14.13

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 26050

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Internal Medicine Associates Of Cullman, Pc

2035 Al Hwy 157, Cullman, AL 350580687

Phone: 2568874996

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 22, 2016

Registered at 2035 AL HIGHWAY 157, CULLMAN, AL 350580687 (Tel: 2568874996)

📍

Updated Business Mailing Address February 22, 2016

Registered at PO BOX 56, HOLLY POND, AL 350830056 (Tel: 2568874996)

👤

Provider Name / Credentials Updated February 22, 2016

Recorded as JOEL JOHNS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2016

Internal Medicine (License #26050 in AL)

🟢

Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043209703

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2005

Last Update: February 22, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 56

Holly Pond, AL 350830056

Phone: 2568874996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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