Active NPI 1598786725 Individual Practitioner Male Practitioner

Dr. Amit Chakrabarty , MD

Urology • Ocala, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amit Chakrabarty, MD is a certified Urology practicing in Ocala, FL. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Chakrabarty delivers high-quality medical care to the local community at 3201 SW 34TH ST STE F.

Dr. Chakrabarty accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, insertion of stent in urinary duct (ureter) using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3201 Sw 34th St Ste F

Ocala, FL 344747439

Telephone 3523984276

Fax 3522910087

Associated Practice Facility / Clinic

🏢 Urologic Clinics Of North Alabama Pc Facility NPI 1326116468

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Ocala, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +15.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Ocala, FL (1082 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chakrabarty (46 Years) 46 Yrs

Ocala Specialty Average (30.5 Years) 30.5 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	65	$474.94	$128.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$248.58	$77.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$1592.30	$135.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	169	$139.41	$79.88
81003 Automated urinalysis test	172	141	$10.36	$2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	99	$196.69	$113.55
51798 Ultrasound measurement of bladder capacity after voiding	102	84	$43.11	$9.56
52000 Diagnostic exam of bladder and urethra using an endoscope	92	86	$364.30	$220.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$192.03	$103.27
55700 Biopsy of prostate gland	25	25	$370.94	$116.68
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$156.63	$28.79
52648 Laser vaporization of prostate including control of bleeding using an endoscope	22	22	$4053.40	$631.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	17	$611.94	$103.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$247.00	$153.29
50590 Shock wave crushing of kidney stones	15	14	$1206.20	$500.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$864.94	$378.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	147	$166.52	$82.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	120	$250.61	$118.51
81003 Automated urinalysis test	126	104	$10.12	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	82	73	$28.23	$9.13
52000 Diagnostic exam of bladder and urethra using an endoscope	54	52	$465.11	$221.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$360.57	$156.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$226.17	$104.15
76872 Ultrasound scan of pelvic region through rectum	21	21	$315.00	$124.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	15	$682.40	$113.33
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1163.92	$386.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	224	$269.99	$120.83
99213 Established patient office or other outpatient visit, typically 15 minutes	338	211	$197.89	$85.17
51798 Ultrasound measurement of bladder capacity after voiding	314	180	$26.84	$8.89
81003 Automated urinalysis test	305	196	$9.39	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$347.17	$156.88
52000 Diagnostic exam of bladder and urethra using an endoscope	77	64	$533.38	$213.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$225.34	$103.36
76872 Ultrasound scan of pelvic region through rectum	42	39	$311.62	$124.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$126.14	$52.03
51741 Electronic assessment of bladder emptying	26	24	$32.42	$9.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$355.86	$170.36
81001 Manual urinalysis test with examination using microscope, automated	20	18	$18.00	$3.17
55700 Biopsy of prostate gland	20	20	$571.90	$221.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$132.95	$53.66
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	19	19	$4084.79	$1638.68
51700 Simple bladder irrigation and/or instillation	17	14	$177.88	$69.87
81015 Urinalysis using microscope	12	11	$13.00	$3.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	282	$254.29	$100.38
99213 Established patient office or other outpatient visit, typically 15 minutes	464	273	$174.41	$68.87
51798 Ultrasound measurement of bladder capacity after voiding	426	245	$21.99	$8.95
81003 Automated urinalysis test	321	231	$10.00	$2.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	69	$174.50	$70.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	148	148	$386.28	$154.39
52000 Diagnostic exam of bladder and urethra using an endoscope	118	105	$482.35	$192.55
51741 Electronic assessment of bladder emptying	97	81	$51.35	$8.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	75	$332.59	$133.55
76872 Ultrasound scan of pelvic region through rectum	57	55	$329.19	$123.46
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	52	52	$855.73	$331.45
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	51	51	$157.71	$31.89
51797 Insertion of device into abdomen with pressure and urine flow rate study	49	49	$366.33	$143.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$251.40	$100.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$343.39	$137.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	31	$882.95	$104.77
51700 Simple bladder irrigation and/or instillation	33	23	$172.61	$60.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	18	$95.59	$38.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	18	$251.43	$101.15
76000 Imaging guidance for procedure, 60 minutes or less	26	25	$81.62	$15.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	25	$673.00	$269.79
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	18	14	$120.56	$48.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$489.71	$196.50
55700 Biopsy of prostate gland	17	17	$579.65	$231.63
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$244.86	$98.10
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$1783.46	$711.18
57288 Creation of sling around bladder canal (urethra) to control leakage	13	13	$1783.77	$705.12
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	13	$493.54	$101.32
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$133.42	$53.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$104.58	$40.69
64581 Incision to insert sacral nerve neurostimulator electrodes	11	11	$1633.36	$614.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	651	351	$257.69	$101.79
99213 Established patient office or other outpatient visit, typically 15 minutes	490	299	$174.73	$69.32
51798 Ultrasound measurement of bladder capacity after voiding	485	304	$28.32	$11.12
81003 Automated urinalysis test	373	282	$10.00	$2.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	179	179	$391.39	$154.65
52000 Diagnostic exam of bladder and urethra using an endoscope	177	149	$440.75	$173.91
51741 Electronic assessment of bladder emptying	125	116	$34.07	$8.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$255.65	$100.20
76872 Ultrasound scan of pelvic region through rectum	95	88	$224.16	$97.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	37	$177.96	$70.54
51797 Insertion of device into abdomen with pressure and urine flow rate study	78	78	$291.23	$124.01
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	73	73	$175.07	$32.27
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	61	61	$815.02	$321.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	53	$334.74	$132.87
99221 Initial hospital inpatient care per day, typically 30 minutes	54	51	$245.72	$98.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	25	$95.97	$38.26
74420 Imaging of urinary tract	33	23	$54.73	$25.17
55700 Biopsy of prostate gland	30	30	$585.33	$233.22
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	30	30	$1797.50	$705.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$347.00	$137.56
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	23	$633.41	$252.31
76000 Imaging guidance for procedure, 60 minutes or less	26	24	$36.69	$15.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$131.16	$51.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	17	$405.64	$114.93
50590 Shock wave crushing of kidney stones	22	19	$1409.18	$543.37
51700 Simple bladder irrigation and/or instillation	21	17	$173.00	$68.64
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$771.00	$305.93
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$1046.00	$407.36
52204 Biopsy of the bladder using an endoscope	15	15	$872.87	$335.95
64581 Incision to insert sacral nerve neurostimulator electrodes	13	12	$1647.85	$582.88
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$393.50	$113.60
64581 Incision to insert sacral nerve neurostimulator electrodes	12	11	$1652.00	$628.18
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	11	11	$102.82	$41.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	526	311	$251.00	$94.50
99213 Established patient office or other outpatient visit, typically 15 minutes	460	295	$169.00	$63.95
81003 Automated urinalysis test	428	328	$10.00	$2.71
51798 Ultrasound measurement of bladder capacity after voiding	368	253	$35.00	$13.03
52000 Diagnostic exam of bladder and urethra using an endoscope	182	158	$383.00	$142.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$385.00	$146.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$251.00	$95.20
51741 Electronic assessment of bladder emptying	111	98	$37.00	$8.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	107	103	$326.00	$124.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	64	$173.00	$66.21
76872 Ultrasound scan of pelvic region through rectum	84	80	$220.00	$81.90
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	72	71	$784.00	$294.15
51797 Insertion of device into abdomen with pressure and urine flow rate study	71	70	$260.00	$97.36
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	70	70	$161.00	$30.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	46	$94.00	$35.73
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	44	36	$34.00	$12.94
76000 Imaging guidance for procedure, 60 minutes or less	44	33	$21.00	$8.07
55700 Biopsy of prostate gland	33	31	$580.00	$218.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	22	$422.22	$99.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	26	$138.00	$52.30
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	23	$574.00	$216.88
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	22	22	$1776.00	$668.67
51700 Simple bladder irrigation and/or instillation	19	18	$170.00	$60.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$339.00	$128.51
57288 Creation of sling around bladder canal (urethra) to control leakage	19	19	$1708.00	$581.28
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$242.00	$92.45
53852 Destruction of prostate tissue through bladder canal (urethra)	17	17	$4392.00	$1644.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$101.00	$38.12
64561 Insertion of sacral nerve neurostimulator electrode array	12	12	$2210.83	$690.13
54405 Insertion of multi-component inflatable penile prosthesis	11	11	$1966.00	$748.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	518	297	$170.95	$62.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	285	$252.97	$92.73
51798 Ultrasound measurement of bladder capacity after voiding	326	217	$42.00	$15.56
81003 Automated urinalysis test	234	204	$10.31	$2.80
81002 Urinalysis, manual test	220	168	$5.33	$2.76
52000 Diagnostic exam of bladder and urethra using an endoscope	191	172	$387.69	$139.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$386.75	$142.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$253.83	$91.84
51741 Electronic assessment of bladder emptying	131	115	$37.00	$9.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	95	$332.97	$121.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	60	$101.00	$37.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	34	$176.00	$64.66
76872 Ultrasound scan of pelvic region through rectum	55	53	$213.05	$74.44
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	54	54	$776.80	$279.24
51797 Insertion of device into abdomen with pressure and urine flow rate study	51	51	$254.92	$90.79
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	50	50	$216.60	$29.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	42	41	$140.00	$51.70
76000 Imaging guidance for procedure, 60 minutes or less	36	33	$26.61	$7.95
57288 Creation of sling around bladder canal (urethra) to control leakage	26	26	$1740.00	$569.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$493.00	$181.82
55700 Biopsy of prostate gland	23	23	$577.00	$212.84
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	22	22	$2091.00	$756.56
53852 Destruction of prostate tissue through bladder canal (urethra)	22	22	$4329.00	$1582.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$341.86	$126.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	15	$404.14	$115.82
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	20	$572.67	$211.46
64581 Incision to insert sacral nerve neurostimulator electrodes	17	15	$1642.00	$554.55
50590 Shock wave crushing of kidney stones	17	15	$1396.00	$479.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$96.00	$35.23
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	15	11	$121.00	$44.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$46.00	$17.08
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	15	$35.00	$12.71
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	13	$390.00	$99.52
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	11	11	$103.00	$37.76
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$1701.00	$583.86

Medical Specialties & State Licenses

CMS Verified: 2024-11-14

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME125251

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License GA 70357

Urology

NUCC Taxonomy Code: 208800000X

State License IN 01058611A

Urology

NUCC Taxonomy Code: 208800000X

State License MO 2500020935

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009935341 (AL)

Medicaid State Provider ID

123334100 (FL)

Medicaid State Provider ID

200018019 (MO)

Commercial Insurance / Payer ID Bcbs

51532618 (AL)

Commercial Insurance / Payer ID Medicare

000092909 (AL)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location November 14, 2024

Registered at 3201 SW 34TH ST STE F, OCALA, FL 344747439 (Tel: 3523984276)

📍

Updated Business Mailing Address November 14, 2024

Registered at 121 COVESHIRE PL, MADISON, AL 357583150 (Tel: 3523984276)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Urology (License #70357 in GA)

📍

Updated Practice Location October 10, 2019

Registered at 2400 LUCY LEE PKWY STE F, POPLAR BLUFF, MO 639012427 (Tel: 5736092266)

📍

Updated Business Mailing Address October 10, 2019

Registered at 2400 LUCY LEE PKWY STE F, POPLAR BLUFF, MO 639012427 (Tel: 5736092266)

✅

NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2017

Registered at 2210 BARRON RD, SUITE 211, POPLAR BLUFF, MO 639011908 (Tel: 5736864133)

📍

Updated Business Mailing Address October 25, 2017

Registered at 2210 BARRON RD, SUITE 211, POPLAR BLUFF, MO 639011908 (Tel: 5736092266)

👤

Provider Name / Credentials Updated October 25, 2017

Recorded as AMIT CHAKRABARTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Urology (License #2500020935 in MO)

✅

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2016

Registered at 2210 BARRON RD, SUITE 211, POPLAR BLUFF, MO 639011908 (Tel: 5736864133)

📍

Updated Business Mailing Address October 17, 2016

Registered at 2210 BARRON RD, SUITE 211, POPLAR BLUFF, MO 639011908 (Tel: 5736864133)

👤

Provider Name / Credentials Updated October 17, 2016

Recorded as AMIT CHAKRABARTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Urology (License #2500020935 in MO)

🟢

Initial NPI Registration & Enumeration July 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598786725

Entity Type:

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

Enumeration Date: July 22, 2006

Last Update: November 14, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

121 Coveshire Pl

Madison, AL 357583150

Phone: 3523984276

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.