| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Bacchus, Elizabeth R NP | 2256 Gilmer Ave Tallassee AL 36078-7114 | 334-567-8633 | 363LF0000X | 1578952206 |
| Bailey, Dr. Irene Alam MD | 115 Herren Hill Rd Tallassee AL 36078-1276 | 334-283-3477 | 207Q00000X | 1023116894 |
| MEDICAID AL : 125352 |
| Baynes, Casey Mitchell LPTA | 192 Rosemere Dr Tallassee AL 36078-6406 | 334-415-8012 | 225200000X | 1457003683 |
| OTHER AL BLUE CROSS BLUE SHIELD : EDU803607451 |
| Bianchi, Dr. Thomas Deverell M.D. | 80 Herren Hill Rd Suite E Tallassee AL 36078-1263 | 334-283-3862 | 207R00000X | 1306818232 |
| OTHER AL BLUE CROSS OF ALABAMA : 51509833 || MEDICAID AL : 529912510 |
| Blair, Jared Merrill DPT | 1000 Friendship Rd Tallassee AL 36078-1265 | 334-283-8032 | 225100000X | 1689969701 |
| Bodner, Dr. Matthew S MD | 5 Gilmer Pkwy Suite 1 Tallassee AL 36078-1215 | 334-731-4500 | 207L00000X | 1164449674 |
| MEDICAID MO : 202646105 |
| Bolan, Adrienne CPNP-PC | 875 Friendship Rd Tallassee AL 36078-1255 | 334-283-3111 | 363LP0200X | 1316554181 |
| Brooks, Tina Yankey MED, ALC | 545 Dean Cir Tallassee AL 36078-3538 | 334-206-2145 | 101YM0800X | 1437802477 |
| Clausell, Sekeita B CRNP | 1608a Gilmer Ave Tallassee AL 36078-2314 | 334-283-2291 | 363LF0000X | 1881116150 |
| Courtney, Michael A M.D. | 80 Herren Hill Rd Ste F Tallassee AL 36078-1264 | 334-283-3896 | 208600000X | 1487702072 |
| MEDICAID AL : 051553052 || OTHER MEDICARE GP PAYOR ID : J249 || OTHER AL BCBS PROVIDER NUMBER : 51513099COU |
| Covington, Sarah A CRNP | 1608 Gilmer Ave Tallassee AL 36078-2314 | 334-782-5028 | 261QP2300X | 1053662171 |
| OTHER AL NPI 1053662171 : 1-049268 || OTHER AL NURSING LICENSE : 1-049268 |
| Crain, Mr. Justin B RPT | 1000 Friendship Rd Tallassee AL 36078-1265 | 334-283-8032 | 225100000X | 1790721363 |
| OTHER AL AETNA : 7981728 || OTHER AL UPIN : Q57152 || OTHER CAQH : 11507998 || OTHER AL BLUE CROSS BLUE SHIELD : 51531618 |
| Crain, Mr. Tom PT | 1000 Friendship Rd Tallassee AL 36078 | 334-283-8032 | 225100000X | 1538191648 |
| OTHER AL HEALTHSPRING OF AL : 45311 || OTHER ACN GROUP : 682573 || OTHER AL AETNA : 7134065 || OTHER CIGNA : 1487373 || OTHER AL BLUE CROSS BLUE SHIELD : 51076140 || OTHER AL UNITED HEALTHCARE : 6410033 || OTHER AL FIRST HEALTH : 1054269 |
| Criswell, Brandi | 875 Friendship Rd Tallassee AL 36078-1255 | 334-283-3111 | 363LF0000X | 1144758756 |
| Davis, Nicole G NP | 2639 Gilmer Ave Tallassee AL 36078-7231 | 334-283-3975 | 363LF0000X | 1760145494 |
| Dubay, Dr. Gregory Van DPM | 875 Friendship Rd Ste J Tallassee AL 36078-1256 | 334-283-4178 | 213ES0131X | 1720146954 |
| MEDICAID AL : 051552056 || OTHER AL BCBSAL : 515-12528 || OTHER AL MEDICARE PROVIDER : 051552056 || OTHER AL GROUP NPI : 1841468238 |
| Dunlap, Dr. Courtney Allison PHARM.D. | 10 Gilmer Ave Tallassee AL 36078-1206 | 334-283-6526 | 183500000X | 1407066681 |
| Farah, Maher MD | 805 Friendship Rd Tallassee AL 36078-1234 | 334-283-3753 | 208M00000X | 1558442194 |
| Harris, Dr. Eric Steven D.M.D. | 1619 Gilmer Ave Tallassee AL 36078-2313 | 334-991-3316 | 1223G0001X | 1487965158 |
| Hartsell, Mr. David Bradford Jr. PHARMD | 2190 Gilmer Ave Tallassee AL 36078-7123 | 334-991-3207 | 183500000X | 1598289167 |
| Herring, Dr. Randal David DC | 315 Friendship Road Tallassee AL 36078 | 334-283-6838 | 111N00000X | 1952409088 |
| OTHER BCBS : 51070859 |
| Holt, Thomas Daniel MD | 875 Friendship Rd Tallassee AL 36078-1234 | 334-283-3111 | 207Q00000X | 1306848494 |
| MEDICAID AL : 009953445 |
| Houts, Dr. Chanda Day DPM | 875 Friendship Rd Suite K Tallassee AL 36078-1234 | 334-283-3897 | 213E00000X | 1841219078 |
| OTHER AL MEDICARE GROUP PAYOR ID : C831 || OTHER AL BLUE CROSS/BLUE SHIELD : 515-04956 || OTHER AL UNITED HEALTH CARE : 2710180 |
| Jennings, Mrs. Linda Story MS, RD, LD | 53 Clay St Tallassee AL 36078-5828 | 334-283-4442 | 133V00000X | 1114241338 |
| Jones, Collin | 213 Godwin Rd Tallassee AL 36078-1129 | 334-322-5297 | 2255A2300X | 1417412081 |
| Keahey, Shawn DDS | 1608b Gilmer Avenue Tallassee AL 36078 | 334-283-8115 | 122300000X | 1811089030 |
| Kelly, Zane Penton CRNP | 115 Herren Hill Rd Tallassee AL 36078-1276 | 334-283-3477 | 207Q00000X | 1043787526 |
| Kenyon, Mrs. Diana L CRNP | 875 Friendship Rd Tallassee AL 36078-1234 | 334-283-3111 | 363LF0000X | 1952799371 |
| King, Dr. Caroline Herring D.C. | 315 Friendship Rd Tallassee AL 36078-1247 | 334-283-6838 | 111N00000X | 1760895189 |
| Lock, Morgan Brantley PHARMD | 10 Gilmer Ave Tallassee AL 36078-1206 | 334-283-3637 | 183500000X | 1568857191 |
| Lynch, Suzanne M | 805 Friendship Rd Tallassee AL 36078-1234 | 334-283-6541 | 225X00000X | 1437601986 |
| OTHER AL OCCUPATIONAL THERAPY LICENSE : 1384 |
| Mccartha, Charles D DMD | 1608b Gilmer Avenue Tallassee AL 36078 | 334-283-8115 | 122300000X | 1881752996 |
| Mendez, Dr. Marcial J | 115 Herren Hill Rd Tallassee AL 36078-1276 | 334-283-3477 | 174400000X | 1407870504 |
| MEDICAID AL : 125887 |
| Mullins, Dr. Nicholas Harding OD | 1609 Gilmer Ave Tallassee AL 36078-2343 | 334-283-6535 | 152W00000X | 1508430042 |
| Mullins, Paris Jr. OD | 1609 Gilmer Ave Tallassee AL 36078-2343 | 334-283-6535 | 152W00000X | 1447367883 |
| OTHER VIVA HEALTH CARE : 630920769 || OTHER HUMANA VISION CARE PLAN : 630920769 || OTHER CIGNA HEALTH CARE : 0127960001 || OTHER VSP : 630920769 || OTHER HEALTH SPRING OF AL : AP002263 || OTHER BCBS OF ALABAMA : 51059845 || MEDICAID AL : 000059845 || OTHER SPECTERA : 13567 || OTHER UNITED HEALTH CARE : 2210153 |
| Owenby, Mr. Harlan Scott DPT | 1000 Friendship Rd Tallassee AL 36078-1265 | 334-283-8032 | 225100000X | 1407220569 |
| Patterson, Tristen Lee | 4255 Notasulga Rd Tallassee AL 36078-6033 | 334-415-8717 | 2255A2300X | 1275052920 |
| Payne, Steven PHARMD | 2190 Gilmer Ave Tallassee AL 36078-7123 | 334-991-3207 | 183500000X | 1548799570 |
| Peaden, Michael W MD | 115 Herren Hill Rd Tallassee AL 36078-1276 | 334-283-3477 | 207Q00000X | 1437122884 |
| Pitchford, Christopher | 10 Gilmer Ave Tallassee AL 36078-1206 | 334-293-3637 | 183500000X | 1003419888 |
| Rand, John H MD | 80 Herren Hill Road Ste D Tallassee AL 36078 | 334-283-3709 | 207YX0905X | 1063467447 |
| MEDICAID SC : GP3546 || MEDICAID AL : 009913154 || MEDICAID SC : 073949 |
| Reinhardt, Dr. James MD | 40 White Oak Ln Tallassee AL 36078-6834 | 334-415-9000 | 171W00000X | 1750833695 |
| Robbins, Dr. Alexander MD | 875 Friendship Road Cmac Suite F Tallassee AL 36078 | 334-283-6460 | 208600000X | 1609801133 |
| MEDICAID AL : 04971 |
| Rowe, Mr. Thomas Luke DPT | 1000 Friendship Rd Tallassee AL 36078-1265 | 334-283-8032 | 225100000X | 1780093567 |
| Russell, Dr. Melvin D M.D. | 875 Friendship Rd Tallassee AL 36078-1255 | 334-283-3111 | 207Q00000X | 1760452999 |
| OTHER AL BCBS : 51086222 |
| Sanders, Ms. Kimberly Ann R.PH. | 2190 Gilmer Ave Tallassee AL 36078-7123 | 334-991-1058 | 183500000X | 1154850154 |
| OTHER AL PHARMACY : 252290 |
| Segrest, Dr. Sallie Wynne AU.D., CCC-A | 271 Cherokee Trl Tallassee AL 36078-4069 | 662-832-1136 | 231H00000X | 1669874178 |
| OTHER AL AUDIOLOGY LICENSURE FOR THE STATE OF ALABAMA : 1134A |
| Stone, Renee F RPT | 805 Friendship Rd Tallassee AL 36078-1234 | 334-283-3734 | 225100000X | 1760530257 |
| OTHER AL BCBS PROVIDER NUMBER : 515-27704 |
| Swicord, Leslie Baggett | 3044 Cherokee Trl Tallassee AL 36078-3739 | 334-283-8871 | 225X00000X | 1982759353 |
| Wagner, Veronica Ellenmarie | 2190 Gilmer Ave Tallassee AL 36078-7123 | 334-283-6841 | 183500000X | 1952947640 |
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