Active NPI 1881776078 Individual Practitioner Male Practitioner

Dr. Ira Lyman Mitchell , MD

Internal Medicine • Florence, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ira Mitchell, MD is a certified Internal Medicine practicing in Florence, AL. With approximately 46 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1980, Dr. Mitchell delivers high-quality medical care to the local community at 2115 CLOYD BLVD.

Dr. Mitchell maintains professional affiliations with Mitchell Internal Medicine Clinic, Ecm Health Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2115 Cloyd Blvd
Suite 1

Florence, AL 356307512

Telephone 2567186858

Fax 2567186058

Associated Practice Facility / Clinic

🏢 Vinaya K Yadla Md Pc Facility NPI 1043326820

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Florence, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +24.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

50 Specialists

Practicing in Florence, AL (1784 Statewide)

Telehealth Adoption Rate

6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (46 Years) 46 Yrs

Florence Specialty Average (21.2 Years) 21.2 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	659	602	$325.10	$164.09
99213 Established patient office or other outpatient visit, typically 15 minutes	530	245	$104.94	$78.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	335	$149.73	$111.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	357	62	$54.23	$42.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	22	$3.75	$0.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	199	83	$151.34	$76.14
G0008 Administration of influenza virus vaccine	113	113	$34.91	$29.46
90661 Influenza vaccine, trivalent derived from cell cultures	112	112	$39.96	$36.09
99238 Hospital discharge day management, 30 minutes or less	81	57	$117.45	$70.32
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	66	29	$64.00	$35.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	34	$34.73	$12.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	45	37	$30.00	$6.99
99239 Hospital discharge day management, more than 30 minutes	38	38	$218.00	$110.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$130.97	$107.29
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	33	31	$75.00	$45.90
J0696 Injection, ceftriaxone sodium, per 250 mg	24	12	$17.50	$0.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	682	627	$289.63	$162.50
99213 Established patient office or other outpatient visit, typically 15 minutes	594	267	$111.70	$83.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	562	254	$127.91	$74.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	477	88	$54.29	$46.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	334	$149.05	$117.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	352	39	$3.75	$1.09
99239 Hospital discharge day management, more than 30 minutes	124	121	$174.45	$108.06
99238 Hospital discharge day management, 30 minutes or less	112	89	$117.24	$75.62
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	97	97	$35.00	$33.45
G0008 Administration of influenza virus vaccine	97	97	$34.90	$28.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	51	$34.21	$12.99
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	61	36	$64.00	$37.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	56	50	$30.00	$7.68
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	47	42	$75.00	$47.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$134.44	$114.87
J0696 Injection, ceftriaxone sodium, per 250 mg	22	11	$17.50	$0.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$175.71	$105.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$216.67	$123.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	729	664	$277.60	$187.58
99213 Established patient office or other outpatient visit, typically 15 minutes	670	298	$119.03	$85.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	352	$149.48	$121.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	424	74	$54.00	$37.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	356	144	$118.00	$67.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	344	40	$3.78	$1.12
G0008 Administration of influenza virus vaccine	127	127	$35.00	$27.36
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	126	126	$35.00	$31.63
99238 Hospital discharge day management, 30 minutes or less	97	72	$117.28	$68.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	47	$34.20	$13.43
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	71	38	$64.00	$38.26
99239 Hospital discharge day management, more than 30 minutes	69	68	$158.00	$99.97
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	66	54	$75.00	$49.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$134.57	$123.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	37	$30.00	$7.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	11	$54.97	$53.08
J0696 Injection, ceftriaxone sodium, per 250 mg	26	12	$17.50	$0.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	25	$172.00	$94.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	797	361	$95.72	$87.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	720	260	$118.00	$68.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	598	84	$54.04	$37.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	596	551	$272.99	$191.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	348	$139.52	$122.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	408	44	$3.75	$1.27
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	161	161	$34.88	$29.94
G0008 Administration of influenza virus vaccine	160	160	$34.88	$15.86
99239 Hospital discharge day management, more than 30 minutes	159	151	$158.00	$101.44
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	150	69	$64.00	$38.68
99238 Hospital discharge day management, 30 minutes or less	112	82	$118.21	$69.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	61	$34.91	$13.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	67	55	$30.00	$8.11
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	45	41	$75.00	$50.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	16	$14.00	$1.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$125.25	$125.03
J0696 Injection, ceftriaxone sodium, per 250 mg	36	14	$17.50	$0.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$125.91	$125.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	955	429	$94.89	$70.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	846	757	$272.13	$193.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	781	129	$54.09	$38.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	315	$139.24	$102.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	351	124	$118.00	$70.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	328	33	$3.75	$1.49
99238 Hospital discharge day management, 30 minutes or less	181	148	$121.48	$69.85
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	150	149	$34.83	$29.19
G0008 Administration of influenza virus vaccine	149	148	$34.70	$15.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	145	53	$34.79	$13.42
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	110	53	$64.00	$38.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	90	18	$14.00	$2.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	71	$30.00	$8.28
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	81	72	$75.00	$50.23
99239 Hospital discharge day management, more than 30 minutes	49	49	$158.00	$103.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	19	$172.00	$101.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$125.56	$109.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	11	$53.77	$42.49
J0696 Injection, ceftriaxone sodium, per 250 mg	28	11	$17.50	$0.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$214.00	$133.45
99220 Hospital observation care, typically 70 minutes	12	12	$276.00	$179.72
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	12	12	$97.50	$13.93
99291 Critical care, first 30-74 minutes	11	11	$624.00	$215.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,494	554	$84.03	$67.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	999	160	$53.90	$36.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	876	769	$259.20	$186.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	768	80	$3.75	$1.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	292	$128.61	$98.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	247	108	$32.04	$15.05
99238 Hospital discharge day management, 30 minutes or less	233	165	$114.09	$66.82
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	207	207	$33.78	$27.53
G0008 Administration of influenza virus vaccine	203	203	$33.89	$15.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	56	$81.19	$68.72
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	120	64	$64.00	$36.80
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	117	90	$75.00	$47.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	109	90	$30.00	$7.84
J0696 Injection, ceftriaxone sodium, per 250 mg	106	41	$17.50	$0.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	24	$14.00	$1.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$127.30	$103.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	13	$52.70	$40.34
85610 Blood test, clotting time	39	11	$7.00	$4.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$135.00	$129.05
99239 Hospital discharge day management, more than 30 minutes	12	12	$123.17	$101.05
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$127.08	$92.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$128.64	$123.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,685	666	$79.08	$65.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	872	96	$3.75	$1.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	869	155	$53.92	$36.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	623	540	$248.14	$187.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	404	144	$80.09	$66.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	285	133	$29.80	$18.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	240	$124.28	$97.15
99238 Hospital discharge day management, 30 minutes or less	252	196	$110.63	$66.87
G0008 Administration of influenza virus vaccine	243	241	$30.00	$18.73
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	243	241	$28.00	$23.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	238	171	$30.92	$7.97
99221 Initial hospital inpatient care per day, typically 30 minutes	227	219	$146.48	$94.39
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	137	67	$64.00	$37.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	136	33	$14.00	$1.96
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	121	93	$75.00	$48.48
J0696 Injection, ceftriaxone sodium, per 250 mg	80	37	$17.50	$0.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	67	$163.39	$123.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$125.28	$105.03
99239 Hospital discharge day management, more than 30 minutes	29	29	$120.00	$98.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	12	$53.31	$39.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	18	$18.00	$16.22
G0009 Administration of pneumococcal vaccine	11	11	$35.00	$18.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$129.55	$124.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$104.09	$91.25
99219 Hospital observation care, typically 50 minutes	11	11	$150.00	$124.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,083	786	$76.56	$65.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,032	113	$3.75	$1.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,003	192	$53.83	$35.78
99221 Initial hospital inpatient care per day, typically 30 minutes	357	348	$155.19	$92.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	332	283	$234.86	$182.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	311	153	$29.71	$22.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	272	232	$32.78	$7.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	116	$80.28	$64.92
99238 Hospital discharge day management, 30 minutes or less	258	193	$111.77	$65.85
G0008 Administration of influenza virus vaccine	227	224	$30.00	$23.04
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	226	224	$28.01	$23.57
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	142	69	$64.00	$36.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	140	41	$14.00	$2.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	113	$118.31	$95.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	120	$148.44	$123.02
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	113	90	$75.00	$48.03
J0696 Injection, ceftriaxone sodium, per 250 mg	80	30	$17.50	$0.66
85610 Blood test, clotting time	68	19	$7.00	$5.28
99239 Hospital discharge day management, more than 30 minutes	58	58	$120.66	$96.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	22	$52.80	$38.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$125.81	$100.34
99220 Hospital observation care, typically 70 minutes	19	19	$259.89	$171.86
99219 Hospital observation care, typically 50 minutes	17	17	$150.94	$115.91
G0009 Administration of pneumococcal vaccine	15	15	$35.00	$23.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$90.00	$88.18
99218 Hospital observation care typically 30 minutes	13	13	$148.00	$92.75
99217 Hospital observation care on day of discharge	11	11	$79.64	$65.50

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 00009988

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Mcr Number

CI3353 (AL)

Commercial Insurance / Payer ID Blue Cross Number

50140653 (AL)

Hospital & Practice Group Affiliations

Ecm Health Group Llc

1701 Veterans Dr, Florence, AL 356304928

Phone: 2566291000

Ecm Health Group Llc

541 W College St, Florence, AL 356305320

Phone: 2567666026

Mitchell Internal Medicine Clinic

404 E Dr Hicks Blvd, Florence, AL 356305763

Phone: 2567166858

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Pamela Hill , CRNP

Nurse Practitioner

NPI 1720178502

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2115 CLOYD BLVD, SUITE 1, FLORENCE, AL 356307512 (Tel: 2567186858)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2115 CLOYD BLVD, SUITE 1, FLORENCE, AL 356307512 (Tel: 2567186858)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as IRA MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Internal Medicine (License #00009988 in AL)

🟢

Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881776078

Entity Type:

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

Enumeration Date: October 19, 2006

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2115 Cloyd Blvd, Suite 1

Florence, AL 356307512

Phone: 2567186858

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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