run time: 11:00 am for the state of alabama run ...02681599 1881805372 ahmed, faris a md birmingham...
TRANSCRIPT
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06557866 1750887592 ABDALHADI, HANEEN MOBILE AL
02335790 1568774065 ABDUL-RAHIM, OSAMA MD MOBILE AL
02523744 1669420394 ABELE, DONALD L MD HAMILTON AL
06507061 1235634692 ABOU SALEH, IBRAHIM MOBILE AL
02180564 1679717342 ACOSTA LARA, MARIA DEL PILAR MD BIRMINGHAM AL
05858798 1184173502 ADAMS, CATHERINE S CRNP BIRMINGHAM AL
03727814 1528057650 ADAMS, CURTIS L MD MOBILE AL
02177293 1457589350 ADARALOYE, ADETUNJI A DO RED BAY AL
03574597 1922425842 ADDIS, DYLAN R MD BIRMINGHAM AL
00124658 1285610576 AGAGAN, CAESAR C M.D. MOBILE AL
06728209 1043461445 AGARWAL, ABHINAV G MD BIRMINGHAM AL
01883265 1942217179 AGARWAL, ANUPAM MD BIRMINGHAM AL
01208288 1578821864 AGARWAL, GARIMA MD BIRMINGHAM AL
08201232 1649293382 AGARWAL, GAURAV MD BIRMINGHAM AL
03320726 1659565513 AGARWAL, MONICA MD BIRMINGHAM AL
04958568 1164625257 AGARWAL, RISHI K MD BIRMINGHAM AL
09305861 1699973669 AGNIHOTRI, SHRUTI P MD BIRMINGHAM AL
02681599 1881805372 AHMED, FARIS A MD BIRMINGHAM AL
04672706 1093198632 AHMED, HAMDY M MD MOBILE AL
00929859 1366444861 AHMED, MOHAMED A MD HAMILTON AL
09824520 1306093588 AHMED, MUSTAFA I MD BIRMINGHAM AL
07489504 1043663198 AHMED, NIDA MD MOBILE AL
02770266 1124318340 AIKEN, PATRICIA B MD BIRMINGHAM AL
07381232 1699856856 AIKIN, STEPHANIE D PA MOBILE AL
01556746 1154303246 AKENHEAD, ROBERT B MD BIRMINGHAM AL
05430592 1043848047 AKTHER, JESAN E MD MOBILE AL
09552561 1063791952 AL DIFFALHA, SAMEER MD BIRMINGHAM AL
00822851 1477920528 AL JABER, EMAD K MD MOBILE AL
Jan 31, 2021 1 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09978822 1679507875 AL SOLAIMAN, FIRAS MD BIRMINGHAM AL
03422307 1750935383 AL-SAYGH, FATIMA H MD MOBILE AL
00750764 1578903480 ALEMAYEHU, HANNA MD MOBILE AL
00121124 1114905429 ALFORD, CHAD M MD MOBILE AL
04920703 1306473301 ALFORD, HANNAH G MD MOBILE AL
02425792 1831727569 ALFORD, HAYDEN MD MOBILE AL
01756729 1306124813 ALKHARABSHEH, OMAR MD MOBILE AL
00251559 1891759809 ALLEN, ANDREW M MD BIRMINGHAM AL
07774063 1740547876 ALLEN, KEVIN G MD BIRMINGHAM AL
07122864 1265812218 ALLEN, SHANNON B CRNP BIRMINGHAM AL
07471867 1154681104 ALLEN, SHARON D NP TUSCALOOSA AL
06037542 1043672538 ALLMENDINGER, MEGAN S CRNP BIRMINGHAM AL
02030324 1407976129 ALMALOUF, PHILLIP MD MOBILE AL
04637217 1497798219 ALMEHMI, AMMAR MD BIRMINGHAM AL
05530373 1053570432 ALNOAH, ZAID A MD MOBILE AL
06603304 1447601059 ALSAYED, ALHARETH MD MOBILE AL
00126919 1265430243 ALVARADO, ROGER MD MOBILE AL
01084223 1528055241 AMAH, GEORGE U MD RUSSELLVILLE AL
08936788 1871516294 AMANZE, ADANNA C MD MOBILE AL
00126463 1265418883 AMARE, DOUGLAS A MD FAIRHOPE AL
09420592 1417986050 AMATO, JOSEPH MD MOBILE AL
04385591 1427023696 AMBROSE, MICHAEL R MD MOBILE AL
07628707 1043573801 AMOR, MARTIN MIGUEL I MD BIRMINGHAM AL
02280797 1053675157 AMRITPHALE, AMOD MD MOBILE AL
02133800 1699208314 AMRITPHALE, NUPUR MD MOBILE AL
02037251 1487952099 ANANTH, AMITHA L MD BIRMINGHAM AL
06139507 1225533557 ANAYA, JOHN A II MOBILE AL
09650396 1922619147 ANDERSON, ALEXANDRIA A MD MOBILE AL
Jan 31, 2021 2 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02489724 1134556061 ANDERSON, DEKOZLYMN V CRNP BIRMINGHAM AL
07383595 1073756201 ANDERSON, DOUGLAS J MD BIRMINGHAM AL
07571081 1285996694 ANDERSON, ELIZABETH M MD MOBILE AL
04072301 1154882314 ANDERSON, JOSEPH MOBILE AL
00527015 1740355619 ANDERSON, SCOTT A MD BIRMINGHAM AL
08537281 1053501049 ANDERSON, STEPHANIE J MD MOBILE AL
00906393 1598291775 ANDERSON, TIM MOBILE AL
02576892 1467517441 ANDREW, ANGELA R PA MOBILE AL
05551325 1780212985 ANDREWS, ASHLEY DO MOBILE AL
00120071 1457305229 ANGEL, NICOLE L MOBILE AL
03077291 1790176733 ANGELIDIS, ALEXANDER P DO MOBILE AL
03134357 1750723870 ANGELILLO, MARGARET CRNP BIRMINGHAM AL
07273822 1033150057 ANTONY, VEENA B MD BIRMINGHAM AL
08234545 1639306855 ARBUCKLE, JANEEN L MD BIRMINGHAM AL
00302265 1215968698 ARCHINARD, TOM-MEKA MD BIRMINGHAM AL
02174309 1609089804 ARCINIEGAS-BERNAL, ANN MARIE MD BIRMINGHAM AL
09205062 1437309283 AREND, REBECCA C MD BIRMINGHAM AL
03102794 1053366500 ARGUELLO, CARLOS R MD BIRMINGHAM AL
08354591 1003917790 ARISTIZABAL, CARLOS A MD BIRMINGHAM AL
04274059 1881805406 ARLEDGE, SHERRI S MD MOBILE AL
03901201 1417983180 ARMISTEAD, DANIEL L MD BUTLER AL
08655370 1093827354 ARMITAGE, RITA J MD BIRMINGHAM AL
05276060 1730664418 ARMSTRONG, KATE L CRNP BIRMINGHAM AL
00123987 1508848607 ARMSTRONG, RAECHEL A MD BIRMINGHAM AL
06658350 1821355975 ARORA, NITIN MD BIRMINGHAM AL
00434397 1275797342 ARORA, PANKAJ MD BIRMINGHAM AL
09058099 1588059257 ARQUIETTE, JACLYN M MD BIRMINGHAM AL
02783203 1861447377 ASCHERMAN, LEE I MD BIRMINGHAM AL
Jan 31, 2021 3 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01837739 1720361744 ASFARI, AHMED M.D. BIRMINGHAM AL
02923276 1700856192 ASHER, DEAN B MD MOBILE AL
09005857 1881064285 ASHLEY ORR, AUDREY K CRNP BIRMINGHAM AL
06833551 1689224016 ASHLEY, BLAIR S CRNP HOOVER AL
06771318 1073807442 ASHLEY, PHILIP A MD BIRMINGHAM AL
09974281 1447458781 ASIF, IRFAN M MD BIRMINGHAM AL
09603567 1497862866 ASKENAZI, DAVID J MD BIRMINGHAM AL
00126918 1134174667 ATCHISON, PAUL R MD BIRMINGHAM AL
02821072 1962455642 ATHANASULEAS, CONSTANTINE L MD FLORENCE AL
03305761 1134383995 ATHERTON, DANIEL S MD BIRMINGHAM AL
05535746 1740595248 ATMORE, DENISER J CRNP BIRMINGHAM AL
05834832 1568783793 AULAKH, PUNEET MD BIRMINGHAM AL
09553278 1548478019 AUSBECK, ELIZABETH B MD BIRMINGHAM AL
07406531 1528269321 AVINGER, CHRISTINE CRNP MOBILE AL
00111399 1720053432 AWAN, FARIDA MD MOBILE AL
00120936 1760431662 AWAN, GHULAM M MOBILE AL
00484054 1568607323 AYE, JAMIE M MD BIRMINGHAM AL
08928703 1144673286 AZIZ, MUHAMMAD U MD BIRMINGHAM AL
04824020 1447237375 AZZIZ, RICARDO MD BIRMINGHAM AL
03208597 1154683266 BACHIASHVILI, KIMO MD BIRMINGHAM AL
02157700 1003269085 BADAMI, SUNIL MD MOBILE AL
03779710 1558562603 BADEWA, ABIODUN A MD HAMILTON AL
00376050 1730316928 BAHADOR, FARSHAD M MD GARDENDALE AL
03752242 1235661240 BAHAKEL, HANNAH K MD MOBILE AL
01651000 1003098070 BAHL, DEEPTI MD BIRMINGHAM AL
09631791 1285104943 BAILEY, KRESTI L CRNP BIRMINGHAM AL
03552827 1619233970 BAILEY, LISA CRNP MOBILE AL
06656036 1437146644 BAKER, MARK D MD BIRMINGHAM AL
Jan 31, 2021 4 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02655014 1437189370 BAKER, MARK S MD BIRMINGHAM AL
00124576 1538118997 BAKER, SUSAN L MD MOBILE AL
02874829 1356324586 BAKER, TIMOTHY MD BIRMINGHAM AL
09472348 1225029283 BAKER, WILLIAM E MD BIRMINGHAM AL
06323254 1275895369 BAKRADZE, EKATERINA MD BIRMINGHAM AL
05134302 1831451129 BAL, SUSAN MD BIRMINGHAM AL
00112480 1801883962 BALDWIN, STEVEN T MD BIRMINGHAM AL
00985524 1871706978 BALIEM, WILMA D CRNP MOBILE AL
00117798 1548263577 BALL, STUART F MD MOBILE AL
07675724 1427377209 BALLARD, HALEY H MD MOBILE AL
08376313 1932681640 BALLMAN, COURTNEY B CRNP BIRMINGHAM AL
04284713 1558970194 BANDARU, TEJASWINI MD MOBILE AL
08676700 1205179504 BANKS JR., JERRY MD MOBILE AL
00120300 1811984032 BARBER, JUDSON W MD BIRMINGHAM AL
00112815 1689756314 BARBER, WILLIAM H MOBILE AL
09938240 1093898918 BARKAN, HELEN MD BIRMINGHAM AL
08608261 1982832358 BARKER, ANDREW B MD BIRMINGHAM AL
06982839 1629268263 BARKER, KAREN B MD DAPHNE AL
08776258 1982003885 BARKER, KATHLEEN M PA-C MOBILE AL
00121364 1770562100 BARKSDALE, JAMES A MD FLORENCE AL
09982313 1508872235 BARLOTTA, KEVIN S MD BIRMINGHAM AL
00806271 1538134655 BARNES, CARL A MD FLORENCE AL
08909867 1205808755 BARNETT, ROSS W M.D. MONTGOMERY AL
03529014 1043242985 BARNEY, JOSEPH B MD BIRMINGHAM AL
05757067 1922464288 BARROS, MARY L CRNP MOBILE AL
08632796 1659769792 BARROW, ABIGAIL CRNP BIRMINGHAM AL
04836590 1396372355 BARRY, GRANT DO MOBILE AL
04472822 1063979953 BARTEL, TRACEY E CRNP MOBILE AL
Jan 31, 2021 5 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01157843 1114360047 BASHAM, MARY M MD BIRMINGHAM AL
01727291 1770538233 BASHIR, KHURRAM MD BIRMINGHAM AL
01501824 1619395944 BASS, RACHEL Z MD BIRMINGHAM AL
00018039 1851340806 BASSAM, BASSAM A MD MOBILE AL
08808321 1669734083 BASU, ARNAB MD BIRMINGHAM AL
07551105 1649806613 BATEMAN, THOMAS D MD MOBILE AL
05285398 1033479233 BATES, PHILLIP MD BIRMINGHAM AL
09505363 1487695573 BATES, ROBIN E PA-C MOBILE AL
00833316 1780926154 BATH, AMANPREET MD MOBILE AL
00252565 1629207782 BATRA, HITESH MD BIRMINGHAM AL
02322003 1093369498 BATRA, MANSI MD MOBILE AL
02156563 1952693996 BATSON, JACOB R MD BIRMINGHAM AL
04020337 1205190907 BATTARBEE, ASHLEY N MD BIRMINGHAM AL
00122019 1144223645 BATTEN, KENNETH D MD MOBILE AL
00122563 1518914803 BATTEN, LYNN A MD MOBILE AL
08201540 1568024255 BATTS, KIMBERLY M CRNP BIRMINGHAM AL
02735241 1144561028 BAUTISTA, RICHARD F PA FOLEY AL
00982398 1396044277 BEAKLEY, LINDSEY MD MOBILE AL
02708864 1700175106 BEALL, HOLLI K CRNP FAIRHOPE AL
06621516 1992255699 BEAMS, MIRANDA A CRNP BIRMINGHAM AL
03139004 1023063559 BEARDEN, DONNA M MD BIRMINGHAM AL
08987567 1659339208 BECKMAN, VICTORIA MD BUTLER AL
07621763 1790041820 BECKWITH, MICHAEL A MD BIRMINGHAM AL
03609323 1407116205 BEDEIR, KAREEM MD MOBILE AL
04383264 1174743223 BEDSOLE, DONALD L MD MOBILE AL
00115660 1467433524 BEDWELL, NOEL W MD MOBILE AL
02906532 1790120202 BEE, CARSON R MD BIRMINGHAM AL
02923736 1548278872 BEIERLE CHEN, ELIZABETH A MD BIRMINGHAM AL
Jan 31, 2021 6 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04125896 1962485102 BELL III, LEON W MD GARDENDALE AL
07571303 1205279593 BELL, BROOKE A MD BIRMINGHAM AL
09159855 1871548339 BELL, EMMY K MD BIRMINGHAM AL
02177327 1831747203 BELL, KELSEY L PA MOBILE AL
06056317 1164749354 BELL, STEPHEN G MD BIRMINGHAM AL
02507311 1316920267 BELL, THOMAS C MD BIRMINGHAM AL
02253534 1285689356 BELL, WALTER C MD BIRMINGHAM AL
00117219 1528009222 BEMIS, FRANCIS W MD BIRMINGHAM AL
04655230 1881832046 BENEFIELD, TIFFANY D CRNP BIRMINGHAM AL
03220504 1073923462 BENESH, FRANK S MD BIRMINGHAM AL
07480506 1083267967 BENFIELD, MARY P CRNP MOBILE AL
05328012 1659835148 BENSON, PAUL V MD BIRMINGHAM AL
09083251 1598084394 BENTLEY, JESSICA N MD BIRMINGHAM AL
00120938 1639266752 BERG, MARION C MD MOBILE AL
00124781 1144275686 BERNREUTER, WANDA K MD BIRMINGHAM AL
00837516 1952822694 BERRY, SARAH M OD BIRMINGHAM AL
09870408 1326545575 BERTOLLA, STACEE B CRNP MOBILE AL
04573709 1194855114 BESSETTE, SABRINA G MD MOBILE AL
08439701 1295147437 BEVIS, ELLEN H CRNP BIRMINGHAM AL
00471021 1003024746 BEVIS, KERRI S MD BIRMINGHAM AL
03123339 1457778961 BHADKAMKAR, SANJYOT S CRNP MOBILE AL
09457344 1831287374 BHAMBHVANI, PRADEEP G MBBS BIRMINGHAM AL
07681832 1104059260 BHAT, RAMACHANDRA MD MOBILE AL
07576555 1326059700 BHATIA, RAVI MD BIRMINGHAM AL
04889855 1417053935 BHATIA, SMITA M.D., BIRMINGHAM AL
06956850 1396936746 BHATT, SURYA P MD BIRMINGHAM AL
00122158 1437108305 BHOWMICK, SAMAR K MD MOBILE AL
00122714 1255396388 BIERD, TERRY M MD BIRMINGHAM AL
Jan 31, 2021 7 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06333000 1306848254 BILLETT, WILLIAM J MD DAPHNE AL
02820065 1720276595 BIRUR, BADARI MD BIRMINGHAM AL
01679088 1699720151 BITTNER, VERA A MD BIRMINGHAM AL
06731809 1992140784 BJORNSTAD, ERICA C MD BIRMINGHAM AL
05025814 1801234018 BLACK, JONATHAN A MD BIRMINGHAM AL
05802209 1932547148 BLACK, MEGHAN MD BIRMINGHAM AL
01726551 1689629735 BLACK, SUSAN MD BIRMINGHAM AL
08438833 1972723179 BLACKMON, ELLEN MD BIRMINGHAM AL
09785854 1477523090 BLACKSTONE, JAMES W MD BIRMINGHAM AL
06705246 1831563006 BLAIR, LAUREN E CRNP BIRMINGHAM AL
07976399 1427493147 BLAKEMORE, SHAUNDRA L MD BIRMINGHAM AL
00017747 1326195694 BLESSEY, THOMAS A MD CHATOM AL
02588859 1740646181 BLINNIKOVA, KSENIA N MD BIRMINGHAM AL
01670321 1306822705 BLUHM, CHARLES S MD BIRMINGHAM AL
06825864 1023426442 BLUMENTHAL, ALEXANDRA CRNP BIRMINGHAM AL
07405398 1568405066 BODIE, FRANKIE L MD MOBILE AL
02579382 1003131558 BOGGS, DREXELL H MD BIRMINGHAM AL
00681077 1174096846 BOGNUDA, BRIANNA M CRNP BIRMINGHAM AL
02886898 1457864175 BOKHARI, AMBER M MD MOBILE AL
07371282 1013450923 BOLEN, ELIZABETH A CRNP BIRMINGHAM AL
02832501 1770042400 BOLIN, AMIA L CRNP BIRMINGHAM AL
02238315 1427478106 BOLLING JR, CHRISTOPHER H MD MOBILE AL
02474356 1225267289 BOLTON III, WILBURN D MD MOBILE AL
04957351 1245544550 BOLTON, ALLISON M MD MOBILE AL
09787279 1780849232 BOOHAKER, ANDREA M MSN BIRMINGHAM AL
02579000 1639126923 BOOHAKER, EMILY A MD BIRMINGHAM AL
05835712 1922252691 BOOKER, OSCAR J MD BIRMINGHAM AL
02420823 1306280946 BOONE, AMY N MD BIRMINGHAM AL
Jan 31, 2021 8 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01605712 1942434709 BOOTH, JAMES S MD BIRMINGHAM AL
08522017 1285117937 BOOTH, LINDSEY CRNP BIRMINGHAM AL
04435771 1578731329 BOOZER, MARGARET M MD BIRMINGHAM AL
03389565 1174781025 BORAK, SAMUEL G MD BIRMINGHAM AL
00705863 1013995554 BORUCKI, GREGORY S DO RUSSELLVILLE AL
00117310 1437106739 BOUDREAUX, ARTHUR M MD BIRMINGHAM AL
05701765 1164831905 BOUDREAUX, LAUREN R CRNP BIRMINGHAM AL
06972598 1942837182 BOUILLON, VICTORIA MD MOBILE AL
00277796 1467919928 BOURG, DEVONN L CRNP MOBILE AL
00126738 1598712424 BOURGE, ROBERT C MD BIRMINGHAM AL
04420001 1790002590 BOURGEOIS, AUSTIN C MD BIRMINGHAM AL
00112717 1891777173 BOWDEN, STEPHEN E MD MOBILE AL
07985075 1154599793 BOWEN, CONSTANCE C CRNP BIRMINGHAM AL
03924388 1760957864 BOWEN, KENTON H CRNP BIRMINGHAM AL
09559714 1346768223 BOWMAN, AMY C CRNP BIRMINGHAM AL
02232041 1679921704 BOWMAN, ASHLEIGH A CRNP MOBILE AL
00123256 1619959806 BOYD, BEVERLY E MD MOBILE AL
04221001 1154486124 BOYD, EDWYN L MD BIRMINGHAM AL
00122280 1023016888 BOYER, JOHN W MOBILE AL
05207286 1710151931 BRABSTON, EUGENE W MD BIRMINGHAM AL
07058722 1184829046 BRACKETT, STEPHEN BIRMINGHAM AL
08620004 1194987503 BRADHAM, KARI A DO MOBILE AL
08800586 1710450531 BRADLEY, AMANDA L CRNP BIRMINGHAM AL
06333811 1164050175 BRAGG, ROBERT T MD MOBILE AL
02370328 1780004416 BRAGG, SARAH E MD BIRMINGHAM AL
03220064 1831533611 BRAMLETT, KRISTINE R CRNP BIRMINGHAM AL
07820867 1235530163 BRANHAM, STACEY L CRNP BIRMINGHAM AL
01152554 1316430739 BRANTLEY, KAITLIN CRNP MOBILE AL
Jan 31, 2021 9 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04278356 1912226267 BREDEL, MARKUS MD BIRMINGHAM AL
01626898 1760943658 BREGNI IBARRA, JOSE A MD MOBILE AL
02274201 1275046658 BREINER, PHILIP A CRNP BIRMINGHAM AL
01426541 1487675740 BREVARD, SIDNEY B MOBILE AL
02976546 1841432614 BREWER, JEFFREY L MD MOBILE AL
00320062 1407944796 BRIDGEWATER, JOEL MD RED BAY AL
03453057 1548792153 BRIGGS, BLAKE M MD MOBILE AL
03970804 1760524250 BRIGHT, ANDREW C DO MOBILE AL
00888355 1073746244 BRITTON, DAVID M OD RED BAY AL
02482035 1053540450 BROCK, JESSICA N CRNP MOBILE AL
03070550 1598855827 BROCKWELL, CHARLES P MD BIRMINGHAM AL
05207061 1487039350 BROKUS, SARA D CRNP BIRMINGHAM AL
00010666 1477541548 BROOKE, WILLIAM R MD CARROLLTON AL
02403764 1992237721 BROOKS, BRADLEY DO MOBILE AL
00279899 1962455204 BROOKS, BRANDON S MD BIRMINGHAM AL
06926888 1467878223 BROOKS, MANDY L CRNP BIRMINGHAM AL
09600715 1952568750 BROOKS, RONALD M MD MOBILE AL
05084754 1972086296 BROOME, KRISTEN R CRNP BIRMINGHAM AL
00878070 1962442186 BROTT, BRIGITTA C MD BIRMINGHAM AL
00113774 1790734788 BROUGHTON, RAYMOND MD MOBILE AL
00121544 1609827104 BROUGHTON, WILLIAM A MD MOBILE AL
05477294 1013313873 BROWN, CAROLINE T CRNP BIRMINGHAM AL
04153559 1518907757 BROWN, CATHERINE G CRNP BIRMINGHAM AL
00119745 1982685640 BROWN, CHRISTOPHER S MD MOBILE AL
03379787 1417317462 BROWN, DEBORAH I NP MOBILE AL
05250569 1083119358 BROWN, FREDERICK A DO MOBILE AL
09684526 1033659917 BROWN, JASON M CRNP BIRMINGHAM AL
07682051 1538167143 BROWN, JAY A MD MOBILE AL
Jan 31, 2021 10 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02475556 1235428772 BROWN, RICHARD C DO FOLEY AL
05703020 1528402146 BROWN, TIFFANY N CRNP BIRMINGHAM AL
07578250 1821201617 BROWN, TODD M MD BIRMINGHAM AL
09287064 1578906236 BROYLES, MATTHEW G MD BIRMINGHAM AL
00122505 1003871633 BRUCE, ROGER D MD BIRMINGHAM AL
07008540 1801836408 BRUMFIELD, CYNTHIA G MD BIRMINGHAM AL
05204241 1134169733 BRUNNER, ROBERT C MD BIRMINGHAM AL
06805366 1265790620 BRUTKIEWICZ, BARBARA V CRNP MOBILE AL
09273063 1437104973 BRYANT, JAMES E MD BIRMINGHAM AL
00116234 1336124379 BRYANT, PATY B BIRMNGHAM AL
03905872 1558342824 BUCKINGHAM, ROBERT B MD BIRMINGHAM AL
01532096 1073589388 BUCKINGHAM, SUSAN I MD BIRMINGHAM AL
09157381 1598121816 BUCKLEY, ALYSON N CRNP MOBILE AL
01886869 1043266281 BUCKLEY, RALPH S MOBILE AL
05823867 1699756973 BUCKNER, BILLY M MD BIRMINGHAM AL
00675770 1215227350 BUCZEK, ERIN J MD BIRMINGHAM AL
03976344 1275823437 BUELL, LAURA K MD BIRMINGHAM AL
07251848 1659699577 BUKELIS, IRENA MD BIRMINGHAM AL
08178252 1881136810 BULL, JESSICA S CRNP BIRMINGHAM AL
00116495 1780630186 BUNCH, FRANK T MD MOBILE AL
06106818 1215204292 BUNNER, DIANNE L CRNP MOBILE AL
02452506 1295829851 BURCH, PATRICIA MD MOBILE AL
03852877 1932220308 BURFORD, HOLLY N MD BIRMINGHAM AL
02900560 1174840144 BURGAN, CONSTANTINE M MD BIRMINGHAM AL
05002862 1144514993 BURGAN, FRANCES MD BIRMINGHAM AL
05387596 1982165890 BURKE, BRICE C MD MOBILE AL
00375391 1164962718 BURKE, KENDYL PA MOBILE AL
05389855 1134539877 BURKE, MATA R MD BIRMINGHAM AL
Jan 31, 2021 11 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04356207 1417114570 BURKETT, JARED L MD MOBILE AL
07285367 1801153937 BURKHART, JOSHUA R MD BIRMINGHAM AL
00205271 1578624508 BURKHOLDER, GREER A MD BIRMINGHAM AL
09229742 1609239912 BURKS, ALLISON REID H M.D. BIRMINGHAM AL
04072370 1427469311 BURLESON, SAMUEL L MD BIRMINGHAM AL
02259741 1194185389 BURNELL, ANTHONY B CRNP BIRMINGHAM AL
00122395 1164462321 BURNHAM, KENNETH M MD MOBILE AL
02123847 1982807079 BURSKI, CHAD MD BIRMINGHAM AL
09457066 1578854766 BURTON, RYAN C MD MOBILE AL
04607368 1629334982 BUSHMAN, ELISA T MD BIRMINGHAM AL
07204387 1720307416 BUTLER, KRISTEN MD MOBILE AL
05830273 1396787230 BUTLER, THOMAS W MD MOBILE AL
02231056 1710244835 BUTTS, CHARLES C MD MOBILE AL
07473384 1609136787 BUTTS-WILKERSON, ASHLEIGH D MD MOBILE AL
00119200 1730157934 BYDALEK, KATHERINE A FNP-B MOBILE AL
06625588 1194815092 BYRD JR, JAMES MD MOBILE AL
03033839 1366992927 BYRD, ASHLYN M CRNP BIRMINGHAM AL
09888527 1457550923 BYRNES, JONATHAN W MD BIRMINGHAM AL
08501720 1477181402 CABRERA, PEDRO MD MOBILE AL
00759500 1851873079 CAGGIANO, DYLAN E DO MOBILE AL
08689872 1265759450 CAJACOB, AMY M MD BIRMINGHAM AL
08559214 1346568664 CAJACOB, NICHOLAS J MD BIRMINGHAM AL
02855587 1952379109 CALDERON, EDUARDO G MD MOBILE AL
09055053 1851633648 CALDWELL, MARTHA H CRNP BIRMINGHAM AL
00115229 1902892151 CALLAHAN, MICHAEL A MD BIRMINGHAM AL
04521559 1215198577 CALLAWAY, JAMES P MD BIRMINGHAM AL
07979236 1750837449 CALLAWAY, KAITLIN L CRNP BIRMINGHAM AL
01430820 1558353987 CAMERON, DANIEL G M.D. MOBILE AL
Jan 31, 2021 12 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08028800 1396982427 CAMP, PAMELA R ACNP MOBILE AL
09431252 1851792816 CAMPBELL, ASHLEY E CRNP BIRMINGHAM AL
01927368 1821022906 CAMPBELL, BRIAN E MD BIRMINGHAM AL
08254704 1073831392 CAMPBELL, CHRISTINE M M.D. BIRMINGHAM AL
06031744 1548280845 CANADAY, KIMBERLY F CRNP MUSCLE SHOALS AL
01156897 1093245581 CANCEL, MICHELLE MOBILE AL
07452721 1568514644 CANNON, JAMIE A MD BIRMINGHAM AL
02789574 1841462744 CANNON, ROBERT M MD BIRMINGHAM AL
00124420 1710928379 CANON, CHERI L MD BIRMINGHAM AL
05539261 1699108779 CARDENAS, AGUSTIN M MD BIRMINGHAM AL
06975890 1972064400 CARLISLE, NATALIE B MD MOBILE AL
01253768 1548583883 CARLO, WALDEMAR F MD BIRMINGHAM AL
00117785 1609806546 CARLSON, KENNETH A MD BIRMINGHAM AL
00117053 1437109691 CARNAHAN, GARY E MD MOBILE AL
00182502 1760572531 CARNES, MATTHEW MD MOBILE AL
02826538 1366754129 CARR, CONLEY J MD BIRMINGHAM AL
06055218 1134631146 CARR, JANE E CRNP BIRMINGHAM AL
00120485 1790722411 CARROLL, SARAH K MD MOBILE AL
02982549 1811931082 CARROLL, WILLIAM R MD BIRMINGHAM AL
03277878 1205824158 CARTER, AARON B MD BIRMINGHAM AL
01403396 1659312783 CARTER, ADRIENNE N MD BIRMINGHAM AL
08935351 1265604227 CARTER, HERNANDO D MD BIRMINGHAM AL
00121911 1215988696 CARTER, JAMES E MD MOBILE AL
02034702 1891136644 CARTER, JENNIFER M MD MUSCLE SHOALS AL
05972246 1508907924 CARTER, TEKUILA R MD BIRMINGHAM AL
04672203 1538425277 CARTLEDGE, HOLLIE CRNP MOBILE AL
01585570 1497958581 CARY, BARRETT P MD BIRMINGHAM AL
08255501 1851358329 CASEY, BRIAN MD BIRMINGHAM AL
Jan 31, 2021 13 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09935828 1881646784 CAULEY WEIDMAN, TONYA N PA MOBILE AL
00126037 1831142264 CAVE, LUTHER D MOBILE AL
00350862 1730153271 CAYLOR, JEFFREY DO FOLEY AL
07874706 1346878790 CHAAUDRY, ZUBAIR MD MOBILE AL
06072000 1871869990 CHAISSON, JORDAN M MD MOBILE AL
02256367 1992092431 CHALAM, JENNIFER N MD MOBILE AL
00017765 1922043421 CHALHUB, ELIAS G MD MOBILE AL
06529563 1609347574 CHAMBERS, JORDAN T CRNP GARDENDALE AL
07387564 1871536565 CHAMBERS, MELISSA R MD BESSEMER AL
08772004 1235168766 CHANDLER, MICHAEL A MD JASPER AL
06505291 1477538510 CHANG, MICHAEL MD MOBILE AL
03985359 1538498274 CHAPMAN LAMBERT, CRYSTAL L CRNP BIRMINGHAM AL
05627723 1588641070 CHAPMAN, GREGORY D MD BIRMINGHAM AL
04709055 1073504114 CHAPMAN, LUCY G MD BIRMINGHAM AL
00118740 1437175429 CHAPMAN, PHILIP R MD BIRMINGHAM AL
06556815 1306365143 CHARYA, SRIKANT V DO MOBILE AL
01379519 1548686660 CHASON, DANIELLE N CRNP MOBILE AL
06487244 1154363315 CHATHAM, WALTER W MD BIRMINGHAM AL
06038528 1366407033 CHEN, HERBERT MD BIRMINGHAM AL
08384254 1154342772 CHEN, MIKE K MD BIRMINGHAM AL
08085883 1710111356 CHENG, YU HSIN MD BIRMINGHAM AL
05731797 1922387299 CHENYI, CHENYI J MD RUSSELLVILLE AL
02157304 1265876684 CHERLA, DEEPA MD MOBILE AL
00118074 1659310787 CHERNICK, RICHARD J MD MOBILE AL
03482059 1104038306 CHERRY, DAVID M MD BIRMINGHAM AL
07282805 1477115152 CHINCHILLA PUTZEYS, CAROLINE I MD MOBILE AL
07153206 1023405347 CHIRANJEEVI, SIVA MD MOBILE AL
07106301 1104051408 CHO, DO YEON MD BIRMINGHAM AL
Jan 31, 2021 14 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03276057 1487094157 CHOUDHARY, GAGANDEEP MD BIRMINGHAM AL
05404098 1104278878 CHOWDHURI, NILARUN MD MOBILE AL
07822716 1336171719 CHRISTEN, NEIL MD GARDENDALE AL
07681057 1922096262 CHRISTENSEN, NIKKI L MD TUSCALOOSA AL
06223766 1326213257 CHU, DANIEL I MD BIRMINGHAM AL
00152866 1225477466 CHUANG, JOY M OD BIRMINGHAM AL
02301890 1710338348 CHUCKNEY DOODY, LINDSAY C CRNP BIRMINGHAM AL
00983225 1164413951 CIMINO, JOSEPH J MD BIRMINGHAM AL
02957790 1649674847 CLARK, ELIZABETH L CRNP BIRMINGHAM AL
07209078 1083934467 CLARK, HAL J DO MOBILE AL
01530802 1598109597 CLARK, HALEY R MD BIRMINGHAM AL
01307838 1598140147 CLARK, KRISTINA H CRNP BIRMINGHAM AL
09727297 1154618106 CLARK, MATTHEW G MD BIRMINGHAM AL
08682292 1063049054 CLARK, ZACHARY MOBILE AL
06478794 1023429495 CLARK, ZACHARY E MD BIRMINGHAM AL
01937023 1467070300 CLARKE, SARAH K CRNP MOBILE AL
03988262 1740626027 CLARKSON, STEPHEN A MD BIRMINGHAM AL
07084315 1215376041 CLAY, TERRY B MD MOBILE AL
09833836 1932458411 CLAYTON, BRANDI R CRNP MOBILE AL
03737326 1174049449 CLAYTON, STANLEY MOBILE AL
05478090 1851513717 CLEMENS, ELIZABETH H MD MOBILE AL
04052042 1053358283 CLEVELAND, STEPHANIE R PA-C MOBILE AL
03401319 1265475990 COBBS, CHARLES G MD BIRMINGHAM AL
08100515 1477593663 COCHRAN, GLENN A MD MOBILE AL
08705321 1386628428 COCHRAN, JOSEPH L MD BIRMINGHAM AL
00827872 1225558323 COCHRAN, MELISSA CRNP MOBILE AL
05652302 1457461790 COCKRELL, CLAYTON D NP HAMILTON AL
03423022 1245227495 COCO, TERESA J MD BIRMINGHAM AL
Jan 31, 2021 15 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00111853 1952345134 COGEN, MARTIN S MD BIRMINGHAM AL
00938743 1053798132 COHEN, ADAM W MD BIRMINGHAM AL
00121718 1710938162 COHEN, MICHAEL V MD MOBILE AL
02820368 1235202029 COHEN, MITCHELL B MD BIRMINGHAM AL
07377373 1184877631 COKER, BRADLEY J MD BIRMINGHAM AL
06956025 1205215019 COLBAUGH, ZACHARY A MD BIRMINGHAM AL
01957804 1619436490 COLE, AMY G CRNP BIRMINGHAM AL
05870218 1841424959 COLE, ASHLEY MD THOMASVILLE AL
06253098 1083666705 COLE, JASON H MD MOBILE AL
00528721 1952342529 COLE, JONATHAN MD MOBILE AL
07786310 1932311917 COLE, KIMBERLY A DO MOBILE AL
09329887 1831502970 COLEMAN, JULIANA J MD BIRMINGHAM AL
08951507 1417930660 COLEMAN, RICHARD J MD BIRMINGHAM AL
09931885 1194905935 COLEY, ALLYSON J CRNP BIRMINGHAM AL
00112601 1003802885 COLLINS, DAMIAN J MD MOBILE AL
04723081 1629531181 COLLINS, HOLLEY L CRNP MOBILE AL
00111252 1255314118 COLLINS, JOHN R MD BIRMINGHAM AL
00121850 1043248339 COLVIN, EDWARD V MD BIRMINGHAM AL
09758048 1255374914 COMBS, BART R MD BIRMINGHAM AL
05673386 1619084647 CONDER, BEVERLY M CRNP BIRMINGHAM AL
03885349 1639112329 CONKLIN, MICHAEL J MD BIRMINGHAM AL
08131228 1073949905 CONNELL, STEPHANIE L PA MOBILE AL
00018471 1922041631 CONNER, MICHAEL G MD BIRMINGHAM AL
07602361 1548203235 CONRY, ROBERT M MD BIRMINGHAM AL
08979516 1194959031 CONTRATTO, ERIN C MD BIRMINGHAM AL
00257560 1962881557 COOK, NAKITA M NP MOBILE AL
04434091 1144858838 COOK, TAYLOR MOBILE AL
01972060 1477946325 COON, KRISTIAN E CRNP BIRMINGHAM AL
Jan 31, 2021 16 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02756580 1235147893 COOPER JR, JOHN A MD BIRMINGHAM AL
04939342 1083150601 COOPER, HAROLD M CRNP BIRMINGHAM AL
05807202 1447755913 COOPER, LAUREN M MD MOBILE AL
07079569 1992070320 COOPER, MELISSA L CRNP BIRMINGHAM AL
06353768 1164635926 COPPOCK, STEVEN T MD TUSCALOOSA AL
01137355 1063602449 CORBELLO, JESSE M MD MOBILE AL
07775264 1609194919 COREY, BRITNEY L MD BIRMINGHAM AL
09400853 1225457609 CORNELIUS, TERESA K MD BIRMINGHAM AL
06551867 1164954624 CORREA, CRISTINA I CRNP BIRMINGHAM AL
01201008 1316411176 CORSER-MCNEELY, JENNIFER L CRNP MOBILE AL
05356333 1851706253 COSKERY, SHELLEY CRNP BIRMINGHAM AL
05038555 1477606309 COSTA, LUCIANO J MD BIRMINGHAM AL
00721366 1164434239 COSTELLO, MELISSA W MD MOBILE AL
06688548 1184831471 COUMANIS, LEWIS G MD MOBILE AL
01377070 1013127315 COUNCIL, LEONA N MD BIRMINGHAM AL
02503264 1225480304 COURTNEY, AMY L PA MOBILE AL
00121307 1184627796 COURTNEY, JAMES V MOBILE AL
00282360 1619236858 COX, CARA H MD BIRMINGHAM AL
08057091 1306307855 COX, CHARLES MD MOBILE AL
08721261 1477712487 COX, DAMON M MD BIRMINGHAM AL
09073282 1386858157 COX, DANIEL MD BIRMINGHAM AL
00117617 1891770376 COX, JERRAL W WD BIRMINGHAM AL
06878031 1942302245 COX, LARRY W DMD PHIL CAMPBELL AL
08789224 1225055197 COYNE-BEASLEY, TAMERA M.D. BIRMINGHAM AL
08226548 1548221195 CRAMER, HARRY R MD MOBILE AL
00124582 1578500146 CRANDELL, KRISTY L MD RED BAY AL
04987098 1154858785 CRATSLEY, MICHAEL MOBILE AL
00278743 1124489588 CRAVENS, KRISTEN N CRNP BIRMINGHAM AL
Jan 31, 2021 17 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03624075 1295938389 CRAWFORD, JACK H MD BIRMINGHAM AL
00119365 1003866005 CREWS, LADONNA M MD MOBILE AL
04778501 1760642813 CRIBBS, MARC G MD BIRMINGHAM AL
03455864 1609036003 CRIBBS, SARAH P MD BIRMINGHAM AL
00125228 1225089220 CRISSINGER, KAREN D MD MOBILE AL
00118320 1811990765 CROCKER, PERCY V MD MOBILE AL
00305515 1003444720 CRONIN, CONOR J MD MOBILE AL
09303848 1235181181 CROOK, ERROL D MD MOBILE AL
04639004 1902283567 CROSBY, JAMES C MD BIRMINGHAM AL
02258507 1992748602 CROSS, RICHARD C MD BIRMINGHAM AL
00389246 1538363726 CROWDER, CYNTHIA R MD MOBILE AL
05787000 1114988086 CROWDER, JASON B MD MOBILE AL
00936590 1164465860 CROWE, DAVID R MD BIRMINGHAM AL
04952378 1104208651 CRUISE, CARSON M DMD FLORENCE AL
00114487 1407967771 CRUTCHER, JR., COLIE E M.D. YORK AL
07850605 1114218112 CUNNINGHAM III, JACK R MD MOBILE AL
09572359 1942720834 CUNNINGHAM, ERIN B CRNP MOBILE AL
00115851 1144201526 CUNNINGHAM, JACK R MD MOBILE AL
00124782 1104869882 CURE, JOEL K MD BIRMINGHAM AL
05906791 1033655212 CURRY, SONDRA K CRNP BIRMINGHAM AL
00016127 1922041540 CURRY, WILLIAM A MD BIRMINGHAM AL
07278555 1154688224 CURTISS, MIRANDA L MD BIRMINGHAM AL
09736378 1588688873 CUSTIS JR, JAMES W MD RUSSELLVILLE AL
06656718 1720247075 CUSTODIO, HAIDEE T MD MOBILE AL
09629015 1497728547 DABAL, ROBERT J MD BIRMINGHAM AL
03236590 1346877354 DABBAS, SARAH MD MOBILE AL
02007837 1225546633 DAI, CHANGHUA CRNP BIRMINGHAM AL
00126915 1992748131 DAILEY, SHARON M MD BIRMINGHAM AL
Jan 31, 2021 18 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08479881 1356774368 DAL ZOTTO, VALERIA L MD MOBILE AL
02005752 1215316146 DALGO, CAITLIN E CRNP BIRMINGHAM AL
04453305 1598977704 DALVI, SAMIR R MD BIRMINGHAM AL
04523866 1780115311 DAMMALAPATI, TIRUMALA R MD FLORENCE AL
00012794 1063560563 DAMRICH, MICHAEL E MD MOBILE AL
06073584 1831451889 DANGLE, JYOTI P MD BIRMINGHAM AL
06122767 1255560595 DANGLE, PANKAJ P MD BIRMINGHAM AL
08275521 1649485020 DANILA, MARIA I MD BIRMINGHAM AL
04737569 1578870929 DAS, ABHIJIN MD MOBILE AL
07871341 1851552111 DASHER JR, CHARLES A MD BIRMINGHAM AL
01633265 1215981121 DASHER, CHARLES A MD BIRMINGHAM AL
08781342 1598727083 DAUGHTERY, JAMES P MUSCLE SHOALS AL
02277060 1578583191 DAVIDSON II, WILLIAM L MD DAPHNE AL
05357304 1629056544 DAVIES, JAMES E MD BIRMINGHAM AL
03553221 1770050783 DAVIS, CHANEL R CRNP BIRMINGHAM AL
01555743 1265949200 DAVIS, JENNIFER J CRNP MOBILE AL
07520871 1255775870 DAVIS, LINDA K CRNP BIRMINGHAM AL
04605088 1831429976 DAVIS, LORIE R CRNP MOBILE AL
00113415 1669429171 DAVIS, MICHAEL MD MOBILE AL
05071881 1669768008 DAVIS, NITA MD MOBILE AL
03937760 1326079831 DAVIS, RANDALL MD BIRMINGHAM AL
01950015 1710920954 DAVIS, RICHARD O MD BIRMINGHAM AL
05022892 1669645784 DAVIS, SHANNON N CRNP MOBILE AL
04456827 1861492308 DAVIS, VALERIE A MD BIRMINGHAM AL
07074306 1104979822 DAVIS, VALISIA M CRNP BIRMINGHAM AL
07925276 1669617825 DAVULURI, SAMEERA MD BIRMINGHAM AL
00681566 1942866587 DAY, ANNA K CRNP BIRMINGHAM AL
06386793 1366654493 DE IDIAQUEZ BAKULA, DIEGO A MD BIRMINGHAM AL
Jan 31, 2021 19 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01333377 1649581752 DEAN II, JAMES A DO MOBILE AL
05379775 1376807008 DEAN, MARISSA N MD BIRMINGHAM AL
09373805 1114360997 DEAN, SARAH J MD BIRMINGHAM AL
01106210 1174781017 DEANDRADE, KEVIN B MD MOBILE AL
00119294 1164478178 DEARING, BRIAN D MD MOBILE AL
00808363 1659920981 DEBELL, ANNA B CRNP BIRMINGHAM AL
09336591 1700066677 DEES, DANIEL D MD MOBILE AL
01278885 1003452558 DEES, WESLEY K CRNP MOBILE AL
07336293 1962909242 DEFRANCISCO, GRANT A DO MOBILE AL
01275084 1477538528 DEFREESE, TRAVIS W M.D. BIRMINGHAM AL
06571829 1528227337 DELANEY, ERIN W MD BIRMINGHAM AL
07133067 1528227345 DELANEY, MATTHEW C MD BIRMINGHAM AL
01279851 1184650152 DELGADO, DENNIS G MD BIRMINGHAM AL
04235308 1629059175 DELGADO, GREGG DO MOBILE AL
02986397 1528224037 DELL, CAROL M MD BIRMINGHAM AL
07922091 1932685757 DEMPSEY, GRETCHEN CRNP MOBILE AL
09685575 1073831806 DENHAM, STEPHANIE W MD BIRMINGHAM AL
01000598 1467434720 DENNIS, DANIEL MD MOBILE AL
09288391 1093276255 DEP, ANDREW H MD MOBILE AL
00110026 1033152194 DESAI, PANKAJ M MD BIRMINGHAM AL
00456399 1841233988 DESCARTES, MARIA MD BIRMINGHAM AL
00679592 1487603841 DESHAZO, MOLLIE R MD BIRMINGHAM AL
05200851 1720462732 DESNOYERS, THOMAS E FNP-C MUSCLE SHOALS AL
00450028 1710942172 DESRUISSEAU, RICHARD P MD BIRMINGHAM AL
09120018 1134126113 DESVERREAUX III, JOHN N MD MOBILE AL
05521300 1043516958 DETJENS, KATHRYN M CNM MOBILE AL
08409731 1538489190 DEVANI, MADHAV V MD BIRMINGHAM AL
01108321 1861469546 DEWOLFE, JENNIFER L DO BIRMINGHAM AL
Jan 31, 2021 20 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01806259 1417242702 DHALIWAL, RAVINDER MD MOBILE AL
08773216 1902906050 DHALL, GIRISH MD BIRMINGHAM AL
05922774 1801211958 DI STASI, ANTONIO MD BESSEMER AL
07008792 1902072077 DIAB, ASHRAF MD CHATOM AL
01104550 1003318619 DIAL, ANDREA D CRNP BIRMINGHAM AL
08137333 1811400450 DIBBLE, YEN H CRNP BIRMINGHAM AL
02405798 1083059950 DILLARD, MELISSA R MD BIRMINGHAM AL
07659283 1154738011 DILLON, KAYCE P CRNP BIRMINGHAM AL
00121712 1598702805 DIPALMA, JACK A MD MOBILE AL
00374365 1720164130 DIVITTORIO, ADRIAN G MD MOBILE AL
07820037 1023208899 DO, MICHAEL V MD MOBILE AL
00139507 1134117591 DOAD, GURINDER MD CHATOM AL
02286718 1699874479 DOBELBOWER, MICHAEL C MD BIRMINGHAM AL
00024771 1750367371 DOLLAR, JENNIFER R BIRMINGHAM AL
07908089 1023455847 DOLMA, KALSANG MD MOBILE AL
04029381 1588644389 DONAHUE, JAMES M MD BIRMINGHAM AL
00126226 1477534121 DONATI, DONNA L M.D. MOBILE AL
08035091 1841403581 DOPPALAPUDI, HARISH MD BIRMINGHAM AL
03475891 1235101973 DOREMUS, JR, JOHN B MD MOBILE AL
08606098 1497216758 DOSUNMU, GIDEON T MD MOBILE AL
09531511 1710424221 DOTSON, ANDREW J CRNA MOBILE AL
00116226 1467434787 DOTSON, RANDY G MD MOBILE AL
00124755 1679576516 DOUGLAS, MARK J MD MOBILE AL
08375563 1770526725 DRANSFIELD, MARK T MD BIRMINGHAM AL
09678576 1801234398 DRUMMONDS, JENNIFER W CRNP BIRMINGHAM AL
09821805 1063505097 DUDLEY, PARISA T OD BIRMINGHAM AL
01356818 1235502238 DUDLEY, WILLIAM T CRNP MOBILE AL
04674708 1053314997 DUFFEY, RICHARD J MOBILE AL
Jan 31, 2021 21 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01934280 1528003563 DUMAS, GEORGE A MD BIRMINGHAM AL
06322742 1588637904 DUNCAN, STEVEN R MD BIRMINGHAM AL
08158877 1912367939 DUNGAN, LYDIA J CRNP BIRMINGHAM AL
09601731 1821088527 DUNN, IDA B CRNP NORTHPORT AL
02732264 1487696340 DUNN, ROBERT F MD SHEFFIELD AL
05924726 1013386184 DUNNE ATKINS, MARY K CRNP BIRMINGHAM AL
09233814 1003466228 DUREN, RYNE S CRNP BIRMINGHAM AL
00112926 1730297961 DYAS, CHRISTOPHER MD MOBILE AL
09085202 1861611196 DYE, CANDICE C MD BIRMINGHAM AL
00011059 1528012226 DYESS, DONNA L MD MOBILE AL
05458202 1336691153 EARL, TONYA L CRNP BIRMINGHAM AL
01984253 1598945875 EATON, ELLEN F MD BIRMINGHAM AL
09984725 1578852133 EDMONDSON, JESSICA G CRNP BIRMINGHAM AL
07505896 1649560806 EDWARDS, ADAM L MD BIRMINGHAM AL
02904377 1578545802 EDWARDS, ANDREW R MD BIRMINGHAM AL
06374793 1700334711 EDWARDS, JAMIRA N CRNP MOBILE AL
05707748 1942703970 EHLERS, SCOTT CRNP MOBILE AL
04476871 1578641692 EHRLICH, MATTHEW J MD BIRMINGHAM AL
02529899 1508492786 EISENMAN, BENJAMIN A DO MOBILE AL
02451804 1073000667 EKPO, ELIZABETH M MD MOBILE AL
01701724 1780972505 EL KHUDARI, HUSAMEDDIN M MD BIRMINGHAM AL
01135542 1447695879 ELAM, ASHLEY R MD BIRMINGHAM AL
00928551 1063702959 ELDREDGE, JENNIFER P MD BIRMINGHAM AL
00288856 1437192317 ELEWSKI, BONI E MD BIRMINGHAM AL
09108797 1710292941 ELKADI, OSAMA MD MOBILE AL
07232805 1245572510 ELKHANANY, AHMED M MD BIRMINGHAM AL
09936768 1447697743 ELLERMAN, JUSTIN L MD MOBILE AL
00015327 1134111537 ELLINGWOOD, KENNETH MD MOBILE AL
Jan 31, 2021 22 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05600870 1396795654 ELLIOTT, KIMBERLY A MOBILE AL
00118449 1427089234 ELLIS, BLESILDA Q MD MOBILE AL
08577524 1205870094 ELMETS, CRAIG A MD BIRMINGHAM AL
05423363 1114442530 ELROD, CHLOE L CRNP ALEXANDER CITY AL
08229266 1730680570 ELSAYED AHMED, ASMAA M MD BIRMINGHAM AL
02825053 1588944292 ELSAYED, TAMER M MD BUTLER AL
01335223 1023429396 ELSTON, CARLY A MD BIRMINGHAM AL
04850269 1023052743 ELTOUM, ISAM-ELDIN A MD BIRMINGHAM AL
02336512 1386735280 ENGERISER, JASON L MD DAPHNE AL
06924801 1982707766 ENNIS, DAVID M MD BIRMINGHAM AL
08687770 1144639675 ENSMINGER, STEPHANIE J CRNP BIRMINGHAM AL
02475821 1174090237 EPP, LAUREN M CRNP BIRMINGHAM AL
08931716 1982921268 ERDMANN, NATHANIEL P MD BIRMINGHAM AL
07031068 1619919131 ESFAHANI, FARZAD M MD BIRMINGHAM AL
07279809 1598175143 ESPARAZ, JOSEPH R MD BIRMINGHAM AL
04788362 1124499876 ESTES, COURTNEY W CRNP BIRMINGHAM AL
00111730 1659325116 ESTRADA, BENJAMIN MD MOBILE AL
01234326 1871572800 EUDY, GRANT E MD BIRMINGHAM AL
07551200 1669824454 EVANS, ALICIA N MD NORTHPORT AL
03384855 1508331968 EVATT, ANNA CRNP BIRMINGHAM AL
00458839 1316377021 EVERETT, LESLIE A CRNP BIRMINGHAM AL
00123402 1255362661 EVES, MATTHEW M MD MOBILE AL
00122577 1043266919 EWAYS, ERIK A MD MOBILE AL
00114886 1396799805 EYAL, FABIEN MD MOBILE AL
00117012 1962493171 EYRICH, GEORGE A MD MOBILE AL
00110688 1851387575 FABIANKE, RAYNARD G MD RED BAY AL
06135261 1053401737 FAGAN, KAREN A MD MOBILE AL
09205016 1255968301 FAGBONGBE, OLUWAFUNMISO I MD MOBILE AL
Jan 31, 2021 23 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08177367 1760978910 FAHMAWI, YAZAN MOBILE AL
00121889 1215981923 FALKOS, SHERYL A MD MOBILE AL
01074758 1164618278 FALLAHIAN, AMIR H MD BIRMINGHAM AL
00117905 1053426395 FALLON, KENNETH B MD BIRMINGHAM AL
02357555 1902247323 FALOLA, BLESSING N MD BIRMINGHAM AL
05932736 1881638518 FAN, POHOEY MD BIRMINGHAM AL
06072816 1811996929 FARQUHAR, DONALD S MD MOBILE AL
00627005 1982231817 FARZANEH, CHRISTOPHER A MD MOBILE AL
02909084 1902334170 FASSBENDER, CHRISTY E CRNP MOBILE AL
00433756 1700837614 FATHALLAH SHAYKH, HASSAN MD BIRMINGHAM AL
04079089 1033187505 FATHALLAH SHAYKH, SAHAR MD BIRMINGHAM AL
04653840 1750656104 FAULKNER, AUSTIN R MD BIRMINGHAM AL
04231850 1881676708 FAVRET JR, ROBERT F MD MOBILE AL
00013887 1871537530 FAYE-PETERSEN, ONA MARIE MD BIRMINGHAM AL
01126748 1689013005 FAZENDIN, JESSICA M MD BIRMINGHAM AL
04720259 1942380290 FEIG, DANIEL I MD BIRMINGHAM AL
06172533 1578787859 FEINSTEIN, JOEL M MD BIRMINGHAM AL
07024234 1770527392 FELDMAN, JACQUELINE M MD BIRMINGHAM AL
00520024 1407275068 FELIS, ANDREW D DO MOBILE AL
03452209 1174506166 FELKER, KATHLEEN J MD BIRMINGHAM AL
03876091 1538444641 FELLER, COURTNEY W CRNP BIRMINGHAM AL
06258571 1467689919 FERGUSON III, JAMES E MD BIRMINGHAM AL
03628017 1073068334 FERGUSON, CHRISTOPHER R CRNP MOBILE AL
02683896 1932368834 FERGUSON, LEE C DO MOBILE AL
01879830 1689992661 FERGUSON, WILLIAM C MD BIRMINGHAM AL
09305303 1730620519 FERRIS-METZGER, VERONICA M OD MOBILE AL
00117461 1730133570 FIGAROLA, MARIA S MD MOBILE AL
07778091 1487633368 FILLMORE, RALPH B MD BIRMINGHAM AL
Jan 31, 2021 24 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08022599 1841456639 FINDLEY, LISA S CRNP BIRMINGHAM AL
00832368 1023040318 FINEBURG, PAUL S MOBILE AL
07751065 1851479471 FINN, EDGAR W MD MOBILE AL
02220724 1487049300 FISHEL, HEATHER L MD MOBILE AL
00124708 1467496083 FISHER III, WINFIELD S MD BIRMINGHAM AL
00974552 1700820339 FIVEASH, JOHN B MD BIRMINGHAM AL
04953279 1881638021 FIX, R JOBE B MD BIRMINGHAM AL
09085335 1073941407 FLAHERTY, AMANDA L CRNP BIRMINGHAM AL
01575709 1407299316 FLEECE, MOLLY E MD BIRMINGHAM AL
09180214 1528403367 FLOWERS RAFIELD, GRACE P MD BIRMINGHAM AL
03930867 1013913805 FOGGER, SUSANNE CRNP BIRMINGHAM AL
09283708 1508492505 FOLSE, TIFFANY M CRNP MOBILE AL
00389399 1073765269 FONSECA, ANNABELLE L MD MOBILE AL
03234022 1366479008 FONTENOT, WILFRED MD MOBILE AL
05674292 1558772939 FORBUSH, DAVID R MD BIRMINGHAM AL
02936367 1669485272 FORD, CHARLES V MD BIRMINGHAM AL
08900775 1386156859 FORD, CHRISTOPHER A CRNP BIRMINGHAM AL
08722391 1710536958 FORD, HEATHER N CRNP BIRMINGHAM AL
03285560 1265476352 FORERO-TORRES, ANDRES MD BIRMINGHAM AL
09107862 1508110818 FORESTER, DEBBY A CRNP BIRMINGHAM AL
09437567 1285077784 FOUST, ANNA C MD MOBILE AL
03471203 1740234327 FOUTY, BRIAN W MD MOBILE AL
09854313 1851398093 FOWLER, PRISCILLA G MD BIRMINGHAM AL
08223394 1164718631 FOX, NATALIE S CRNP MOBILE AL
00123932 1912950494 FRANCEZ JR, KENNETH E MD MOBILE AL
03100746 1366492365 FRANKLIN, ALAN MD MOBILE AL
08106819 1902899842 FRANKS, RONALD D MD MOBILE AL
00572566 1932114311 FRAZIER, MARCELA OD BIRMINGHAM AL
Jan 31, 2021 25 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03329735 1669446472 FREEMAN, KATHERIN L MD BIRMINGHAM AL
06738844 1780940197 FREGO, JENNIFER CRNP MOBILE AL
05487375 1023038684 FRIEND, RICHARD D MD BUTLER AL
02686749 1073824439 FROST, JAMES R MD MOBILE AL
00650751 1144203134 FRY, PAUL J MD GARDENDALE AL
00126153 1033191150 FUCICH, LEE F MD MOBILE AL
04921565 1366604738 GADDAMANUGU, SIDDHARTHA MD BIRMINGHAM AL
06579307 1457810301 GADDY, CLIFFORD D MD MOBILE AL
07100524 1780899179 GAFFO LLONTOP, ANGELO L MD BIRMINGHAM AL
00118797 1477539096 GAINES, RONALD L MD MOBILE AL
04826404 1518226935 GALGANO, SAMUEL J MD BIRMINGHAM AL
01705318 1881743607 GALLA, JOHN M MD MOBILE AL
02885397 1902244114 GALLE, JAMES MD MOBILE AL
02539716 1962504134 GALLIANI, CARLOS A MD MOBILE AL
09758568 1497059919 GALLOWAY, DAVID P MD BIRMINGHAM AL
04186290 1215984786 GAMARD, CHRISTOPHER J MD MOBILE AL
04174012 1245585496 GANDOTRA, SHEETAL MD BIRMINGHAM AL
07683252 1457791642 GANDY, JOY M CRNP MOBILE AL
03856713 1538502752 GANTZ, EMILY S DO BIRMINGHAM AL
05222860 1659503704 GARAPATI, MANJULA MD ANNISTON AL
03323279 1275913279 GARDNER, DANIEL P FNP MOBILE AL
09773006 1578549085 GARG, PURUSHOTTAM MD THOMASVILLE AL
09871060 1770551293 GARRI, RICHARD F MD MOBILE AL
08123024 1275975757 GARRIGAN, APRIL L CRNP BIRMINGHAM AL
06002062 1467460600 GARVEY, BRENNAN C PA BIRMINGHAM AL
00126108 1154365237 GASTON, ROBERT S MD BIRMINGHAM AL
03388261 1417247347 GASTON, TYLER E MD BIRMINGHAM AL
02252774 1801054754 GATES, MICHAEL G MD MOBILE AL
Jan 31, 2021 26 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09524724 1386295137 GATHERWRIGHT, CHELSEA E CRNP BIRMINGHAM AL
03771561 1871987875 GAVAN, BRIAN S MD MOBILE AL
08101023 1265812424 GAVIN, BRENDA F CNP MOBILE AL
07824559 1245492453 GAVRILITA, CRISTINA E MD MOBILE AL
03258307 1568727907 GBOLAHAN, OLUMIDE B MD BIRMINGHAM AL
03720013 1740224989 GEISLER, WILLIAM M MD BIRMINGHAM AL
04602588 1174692701 GELDMACHER, DAVID S MD BIRMINGHAM AL
08627598 1275808396 GENTLE, SAMUEL J M.D. BIRMINGHAM AL
08278723 1083667356 GEORGE, JEFFREY R MD MOBILE AL
06724554 1447722541 GERDING, EMILY C CRNP BIRMINGHAM AL
03230899 1821276676 GERJOI, MARCELO N PA MOBILE AL
08476093 1548211618 GERTLER, ALAN S MD BIRMINGHAM AL
00112180 1386692267 GEWIN, WILLIAM C MD MOBILE AL
01850522 1346701604 GHILEZAN, ALEXANDRU M DO MOBILE AL
03188040 1972953594 GIADROSICH, PATRICK R CRNP GARDENDALE AL
08332301 1700341195 GIAMBRONE, MELANIE J CRNP MOBILE AL
06121809 1942643226 GIBSON, BRIANA R MD MOBILE AL
00126417 1770597353 GILBERT, ROBERT A MD MOBILE AL
00325069 1245274349 GILBERT, SHAWN R MD BIRMINGHAM AL
04477057 1649407420 GILCHRIST, JODY H CRNP BIRMINGHAM AL
05652861 1235681214 GILES, MISTY L CRNP BIRMINGHAM AL
08478252 1134512072 GILLISPIE, SUSAN M CRNP MOBILE AL
03878075 1548258882 GINSBERG, NATHAN J MD MOBILE AL
04827580 1275975534 GIRI, SMITH MD BIRMINGHAM AL
08034370 1891730073 GIRKIN, CHRISTOPHER A MD BIRMINGHAM AL
04756306 1386951887 GITHU, TANGAYI MD GARDENDALE AL
09889399 1972548121 GLEASON, BRIAN P MD BIRMINGHAM AL
02371820 1396957387 GODBY, KELLY MD BIRMINGHAM AL
Jan 31, 2021 27 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06278749 1316485865 GODFREY, ASHLEY T CRNP BIRMINGHAM AL
01375719 1306188461 GODSEY, VERONICA C MD BIRMINGHAM AL
01753370 1366487316 GOEPFERT, ALICE R MD BIRMINGHAM AL
07004551 1366470718 GOEPFERT, PAUL A MD BIRMINGHAM AL
03253219 1407464415 GOLANI, KHUSHBOO MD MOBILE AL
03957268 1043638257 GOLDSBERRY, WHITNEY MD BIRMINGHAM AL
02806385 1952386419 GOLDSTEIN, WARREN D MD BIRMINGHAM AL
06238215 1891704128 GONGORA, ENRIQUE MD BIRMINGHAM AL
00038347 1114488087 GONZALEZ RODRIGUEZ, ANGEL D MD MOBILE AL
03359749 1467790717 GOOCH, REBECCA H MSN C BIRMINGHAM AL
03185853 1477972511 GOODWIN, DANA L CRNP BIRMINGHAM AL
00112721 1669454948 GOODWIN, TIMOTHY B MD MOBILE AL
09979720 1104955327 GORE, LISA D CRNP MOBILE AL
08006322 1215160189 GOSLINGS, SOPHIA M MD MOBILE AL
00116572 1306898325 GOTTLIEB, MARC S MD MOBILE AL
07603300 1184641961 GOYAL, MONISHA MD BIRMINGHAM AL
08309780 1316941016 GRAF JR, CURTIS M MD MOBILE AL
08327225 1780977553 GRAHAM, LAUREN V MD BIRMINGHAM AL
07872505 1205816410 GRAMS, JAYLEEN M MD BIRMINGHAM AL
03057275 1316131642 GRANT, JANATHA S CRNP BIRMINGHAM AL
03532352 1528253747 GRAU, GRACE CRNP BIRMINGHAM AL
06355308 1922368646 GRAVETT, RONNIE M MD BIRMINGHAM AL
06809561 1649595562 GRAY, ANNA B MD BIRMINGHAM AL
03077090 1558312348 GRAY, JENNIFER M MD MOBILE AL
04983773 1265841969 GRAY, JULIA N CRNP BIRMINGHAM AL
04321734 1457613580 GRAY, MEAGAN E MD BIRMINGHAM AL
04230864 1669804969 GRAY, WHITNEY A CRNP BIRMINGHAM AL
07705892 1043553340 GRAYSON, JESSICA W MD BIRMINGHAM AL
Jan 31, 2021 28 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01853279 1689964512 GRAYSON, LESLIE P MD BIRMINGHAM AL
02576568 1164935110 GREEN, CHRISTION L CRNP BIRMINGHAM AL
03426241 1053526988 GREEN, CHRISTOPHER J MD GARDENDALE AL
04222327 1366091886 GREEN, JESSICA M CRNP BIRMINGHAM AL
09906595 1942838875 GREEN, JOHN DO MOBILE AL
04587365 1407100167 GREEN, SHARON A CRNP BIRMINGHAM AL
09775515 1154563898 GREENE, BENJAMIN J MD BIRMINGHAM AL
01151827 1184913691 GREENE, CHRISTOPHER J MD BIRMINGHAM AL
05023392 1356736292 GREENUP, ERIN R DO BIRMINGHAM AL
03824057 1245770957 GREENWOOD, BROOKLYN P CRNP BIRMINGHAM AL
07688280 1356659262 GREGORY, COURTNEY CRNP BIRMINGHAM AL
00016484 1750369468 GREMSE, DAVID A MD MOBILE AL
08204505 1326492281 GRETTE, KATHERINE V MD MOBILE AL
08783306 1720281819 GRIMM JR, LEANDER M MD MOBILE AL
08438741 1215295605 GRISANTI, KATHLEEN H MD BIRMINGHAM AL
07937808 1396707832 GROPEN, TOBY I MD BIRMINGHAM AL
09380307 1902890544 GROSS, RONALD MD FAIRHOPE AL
00123645 1285619403 GRUMLEY, SCOTT MD BIRMINGHAM AL
00335206 1891085270 GUICE, GRIFFIN MD BIRMINGHAM AL
02259347 1437601085 GUIMARAES DEBIASI, MARCUS O CRNP BIRMINGHAM AL
00684869 1588807937 GUIMBELLOT, JENNIFER MD BIRMINGHAM AL
00117167 1346245602 GUION, CHRISTOPHER J MD BIRMINGHAM AL
08980221 1619233129 GULATI, RASHMI MD MOBILE AL
07526560 1033324199 GULLETT, JOHN P MD BIRMINGHAM AL
04880617 1952384943 GUM, GREGORY K MD GARDENDALE AL
02785501 1982018826 GUNDAPUNENI, SATISH DO RED BAY AL
04478374 1659505691 GUNN, ANDREW J MD BIRMINGHAM AL
06732065 1891013710 GUNN, DEIDRE D MD BIRMINGHAM AL
Jan 31, 2021 29 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07078217 1285078568 GUNNELLS JR, DREW J MD BIRMINGHAM AL
05370365 1235189085 GUPTA, SHIKHA MD MOBILE AL
05120934 1255942413 GURUNG, AAYUSHKA MD MOBILE AL
05520343 1376879270 GUTHRIE LOCKE, SHANNON L CRNP BIRMINGHAM AL
00124951 1326083510 GUTHRIE, BARTON L MD BIRMINGHAM AL
07534099 1326035189 GUTIERREZ, HECTOR H MD BIRMINGHAM AL
09078744 1932141538 GUTIERREZ, ORLANDO M MD BIRMINGHAM AL
00014590 1164428819 HACKNEY, JAMES R MD BIRMINGHAM AL
04007380 1962443671 HAGERTY, COOPER P MD BIRMINGHAM AL
04258572 1801271457 HAIDER, ASGHAR MD BIRMINGHAM AL
07585237 1952515538 HAINES, HILARY MD BIRMINGHAM AL
09284361 1144348632 HAJ ASAAD, AYMAN MD BIRMINGHAM AL
05586551 1689697625 HAJJAR, MARTIN MD RED BAY AL
01480019 1285681957 HAKMILLER, KARL V MD MOBILE AL
04638833 1689887820 HALE, JENNIFER M MD BIRMINGHAM AL
02335390 1477022739 HALE, MATTHEW R CRNP BIRMINGHAM AL
06659595 1710418470 HALL, DAVID A MD MOBILE AL
01470282 1588915664 HALL, GLORIA A CRNP BIRMINGHAM AL
05452701 1972131530 HALL, MATTHEW W MD MOBILE AL
09906097 1871029991 HALL, MICHAEL E NP FOLEY AL
02357560 1336357284 HALL, TYLER A MD BIRMINGHAM AL
09306705 1063702454 HALLMAN, MADHURA A MD BIRMINGHAM AL
03707041 1578805719 HAMILTON, MARIA A MD MOBILE AL
03505779 1053786657 HAMLIN, ELIZABETH H CRNP BIRMINGHAM AL
01355253 1720521248 HAMMOCK, ERIN T CRNP BIRMINGHAM AL
08473811 1962646216 HAMMOND, KATHERINE S MD BIRMINGHAM AL
04871076 1134138035 HANAWAY, MICHAEL J MD BIRMINGHAM AL
07374771 1912041245 HANCOCK, JACQUELINE P MD BIRMINGHAM AL
Jan 31, 2021 30 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02332297 1417028903 HANCOCK, MARY J CRNP MOBILE AL
01000061 1952854994 HANEEF MOHAMED, ATIF WASIM MD BIRMINGHAM AL
01671847 1639117526 HANES, CHARLES MD MOBILE AL
00524705 1497116511 HANLON, MELISSA CRNP MOBILE AL
01454741 1598994451 HANNON, III, PAUL J MD MOBILE AL
05055509 1497847149 HAQ, EHTSHAM U MD BIRMINGHAM AL
07220091 1699937482 HARADA, SHUKO MD BIRMINGHAM AL
05239393 1386924116 HARDEMAN, TAMMY J CRNP BIRMINGHAM AL
04237794 1992903751 HARDIMAN, KARIN M MD BIRMINGHAM AL
05684049 1295763589 HARDING, SUSAN M MD BIRMINGHAM AL
00126607 1558349860 HARDY, WARREN D MD MOBILE AL
09259719 1417444381 HARDY-WILLIAMS, HEATHER C CRNP BIRMINGHAM AL
05726735 1366866394 HARKNESS, PAIGE H CRNP BIRMINGHAM AL
00483281 1700402021 HARLESS, HILARY A CRNP MOBILE AL
00057043 1982922217 HARMON, CHARLES M MD MOBILE AL
07422745 1780696781 HARPER, SCOTT E MD BIRMINGHAM AL
02420061 1114286572 HARPLE, CHAD D MD BIRMINGHAM AL
08125522 1043674757 HARPOOL, JOSHUA D MD BIRMINGHAM AL
04587360 1164458139 HARRELL, LINDY E BIRMINGHAM AL
05008206 1336176585 HARRIGAN, MARK R MD BIRMINGHAM AL
00015005 1871531681 HARRIS, CURTIS N MD MOBILE AL
03238547 1255735692 HARRIS, JANICE CRNP MOBILE AL
06156234 1760741185 HARRIS, TRAVIS H MD MOBILE AL
05707828 1760934467 HARRISON, DEVIN S CRNP BIRMINGHAM AL
09880395 1922168376 HARSANYI-JILLING, KRISZTINA A MD BIRMINGHAM AL
07724347 1679909386 HART, AUDRA M CRNP BIRMINGHAM AL
02628247 1174834154 HART, KATHARINE CRNP MOBILE AL
01287767 1497829337 HARTIN JR, CHARLES W MD MOBILE AL
Jan 31, 2021 31 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02688847 1417213588 HARTMAN, CATHERINE CRNP MOBILE AL
00116345 1942253893 HASHIMI, MIR W MD MOBILE AL
03803565 1023457454 HASLEY, MATTHEW DO MOBILE AL
00114663 1326041203 HASSELL, DAVID R MD MOBILE AL
07450251 1952417198 HASSON, JACK H MD BIRMINGHAM AL
02828398 1427410760 HASSOUNEH, LINDA MD MOBILE AL
08783863 1194198135 HATTAWAY, HOLLY K CRNP BIRMINGHAM AL
02632349 1528225307 HAWI, RIEM MD BIRMINGHAM AL
04570379 1245286103 HAWKINS, JEFFREY W MD BIRMINGHAM AL
04532803 1154639078 HAWKINS, KRYSTAL L CRNP BIRMINGHAM AL
09888812 1447290663 HAWLEY, WILLIAM K MD HAMILTON AL
02572362 1659602233 HAYES, ALLISON A CRNP BIRMINGHAM AL
04852803 1023285228 HAYES, JOHN W CRNP DAPHNE AL
00015893 1760437800 HAYNES JR, JOHNSON MD MOBILE AL
03672362 1326431495 HAZELRIG, VIRGINIA C CRNP BIRMINGHAM AL
01685555 1376954271 HEAD, RONA L DO BIRMINGHAM AL
05028001 1265068290 HEARD-PINHO, BREANNA S MD MOBILE AL
00488010 1831727809 HEARN, MADELINE D DO MOBILE AL
05589008 1457536765 HEBSON, CAMDEN L MD BIRMINGHAM AL
05756532 1851803233 HEDGES, BLAIR D CRNP BIRMINGHAM AL
04622331 1316486400 HEEKE, LAUREN T CRNP BIRMINGHAM AL
03278000 1366852113 HEIMANN, MATTHEW A MD BIRMINGHAM AL
09059806 1093727174 HEINS, ALAN E MD RED BAY AL
06672352 1962484816 HEISER, MICHAEL J MD MOBILE AL
08326011 1942391784 HELLER, BRIAN J MD MOBILE AL
02559756 1134157928 HENDERSHOT, KIMBERLY M MD BIRMINGHAM AL
05476219 1144450792 HENDERSON, PHILLIP K DO MOBILE AL
09620271 1902832009 HENLING, COLLEEN E MD BIRMINGHAM AL
Jan 31, 2021 32 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07559553 1871975581 HENRY, KATINA Q CRNP BIRMINGHAM AL
08573047 1326369752 HENSLEE, TRACEY N CRNP BIRMINGHAM AL
02070754 1285660159 HEO, JAEKYEONG MD BIRMINGHAM AL
05787349 1396108726 HERMECZ, HILARY L PA MOBILE AL
09473064 1295168565 HERON, BETHANY L NP BIRMINGHAM AL
03831306 1558375220 HERRERA, GUILLERMO A MD MOBILE AL
00121491 1316986193 HERRERA, JORGE L MD MOBILE AL
07086558 1447614979 HERRING, ALLISON N CRNP BIRMINGHAM AL
04130598 1720083967 HERRING, CALVIN W MD GADSDEN AL
00074560 1497219372 HERRING, ROBYN N CRNP BIRMINGHAM AL
02252809 1275518870 HERRINGTON, CHAUNCEY E MD MOBILE AL
08209706 1396127999 HEUDEBERT, ALONSO I MD BIRMINGHAM AL
04658872 1780020206 HEWES, AMELIA R MD MOBILE AL
04488213 1184668501 HEWITT, WILLIAM H MD MOBILE AL
07987710 1497119861 HICKS, SHERELL L MD BIRMINGHAM AL
01754247 1235161092 HICKS, WILLIAM C MD MOBILE AL
02554399 1720430374 HIDALGO-ESPINEL, DIEGO MD HAMILTON AL
06589230 1396259768 HIGGINS, TINA G CRNP MOBILE AL
08485763 1396948386 HIGHTOWER, HANNAH B MD BIRMINGHAM AL
05652856 1982093464 HILL, SUSAN P CRNP NORTHPORT AL
03353792 1053634386 HILL, VANESSA K CRNP BIRMINGHAM AL
04022581 1679848071 HILLER BROWNE, ROBYN D CRNP MOBILE AL
00111501 1982649182 HINTON JR, JOHN MD MOBILE AL
04159552 1639170723 HITES, KEVIN M PA-C MOBILE AL
04729270 1932183217 HIXSON, WILLIAM C MD MOBILE AL
03639744 1366964702 HODGES, ASHLEY L CRNP BIRMINGHAM AL
04807519 1942236708 HOESLEY, CRAIG J MD BIRMINGHAM AL
05470301 1942591094 HOFTO, MEGHAN E MD BIRMINGHAM AL
Jan 31, 2021 33 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08885816 1982691531 HOGAN, MICHAEL B MD MOBILE AL
08722075 1639432644 HOGUE, ANTWAN J MD MOBILE AL
04206595 1508090291 HOKE, MEREDITH C CRNP BIRMINGHAM AL
04821314 1093706467 HOLCOMB, JOHN B MD BIRMINGHAM AL
05524249 1386671501 HOLCOMBE JR, JOHN L MD BIRMINGHAM AL
07531349 1437609963 HOLDEN, WILLIAM M CRNP BIRMINGHAM AL
09804367 1649207424 HOLLAND, AIMEE C CRNP BIRMINGHAM AL
08326501 1679854236 HOLLAND, WHITNEY B CRNP BIRMINGHAM AL
05186545 1730541277 HOLLEYMAN, DANIEL MD MOBILE AL
03226318 1285863670 HOLLIDAY, NICOLETTE P MD MOBILE AL
08272093 1568923381 HOLLOWAY, WALTER B MD MOBILE AL
06988509 1821593393 HOLMAN, LOGAN MOBILE AL
06855524 1467461392 HOLMAN, WILLIAM L MD BIRMINGHAM AL
04252858 1952850695 HOLMES, MADELEINE L CRNP BIRMINGHAM AL
00623260 1538512439 HOLMES, WESLEY T CRNP BIRMINGHAM AL
06481821 1265895833 HONEYCUTT, MICHAEL W MOBILE AL
05579754 1043247265 HOOK III, EDWARD W MD BIRMINGHAM AL
07821526 1699717074 HOOPES, CHARLES W MD BIRMINGHAM AL
02159206 1013906445 HOOVER, KIMBERLY H MD BIRMINGHAM AL
06939742 1104335884 HOOVER, TANDY R CRNP BIRMINGHAM AL
02756734 1104020106 HOOVER, WYNTON MD BIRMINGHAM AL
03277781 1982691770 HOPE, TERRY O MD BIRMINGHAM AL
00019066 1265543623 HOPPER, SAMUEL P MD BIRMINGHAM AL
00783832 1740677459 HOPPMANN, ANNA L MD BIRMINGHAM AL
08773248 1922423425 HORN, VERNADETTE L FNP BUTLER AL
03258869 1043503816 HOUSTON, EILEEN D CRNP MOBILE AL
02274057 1881912632 HOUSTON, JAMES T MD BIRMINGHAM AL
08052574 1659482941 HOUSTON, JOHN MD CHATOM AL
Jan 31, 2021 34 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08580268 1104058544 HOVEY, JENNIFER H CRNP BIRMINGHAM AL
07877352 1689613473 HOWARD, DONNELLY N MD MOBILE AL
03475853 1952515736 HOWARD, JOHN H MD MOBILE AL
04933712 1790877892 HOWELL, DRUHAN L MOBILE AL
08656218 1841703139 HOWELL, ELEANOR S PA-C GARDENDALE AL
02451576 1023013380 HOWELL, ERIC J M.D. BIRMINGHAM AL
01259766 1457717126 HOWELL, HAILEY H FNP NORTHPORT AL
05553255 1427253269 HOWELL, STEPHEN L CRNP BIRMINGHAM AL
01786521 1932411519 HU, PARKER J MD BIRMINGHAM AL
08129712 1891723821 HUANG, CONWAY C MD BIRMINGHAM AL
00056898 1881845501 HUDDLESTON, ADAM J MD MOBILE AL
05103302 1922569185 HUDE, CHRISTINE M MD MOBILE AL
05482753 1366936296 HUDSON, DEVIN W CRNP MOBILE AL
03632000 1538243894 HUFF, MELISSA D CRNP MOBILE AL
03589542 1124445960 HUFFMASTER, CANDACE E CRNP MOBILE AL
02873571 1891078564 HUFFSTUTLER, CHRISTOPHER E CRNP BIRMINGHAM AL
03634568 1285666099 HUGGINS, NORMAN D MD BIRMINGHAM AL
09770261 1881015816 HUGHES, BETHANY C PA MOBILE AL
09808262 1881817096 HUGHES, HAYDEN R MD BIRMINGHAM AL
05302326 1457668709 HUGHES, KIM Y CRNP BIRMINGHAM AL
06023566 1326075425 HUGHEY, SARAH L MD BIRMINGHAM AL
00530550 1043257173 HUH, WARNER K MD BIRMINGHAM AL
07155541 1760748578 HUIDEKOPER, JOHN E MD BIRMINGHAM AL
00177311 1710209630 HULS, HALLIE R MD MOBILE AL
05053212 1841808953 HULTS, KAYLA P CRNP MOBILE AL
03601740 1427199470 HUNDLEY, OLIVETTE T MD MOBILE AL
04557789 1992855886 HUNDLEY, TERRY J MD MOBILE AL
04978307 1477932192 HUNT, KATHERINE M MD BIRMINGHAM AL
Jan 31, 2021 35 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01655789 1124401849 HUNT, RAYMOND B MD BIRMINGHAM AL
09709286 1265413611 HUNTER, JAMES H MOBILE AL
05808728 1992732572 HUNTER, JAMES M MD BIRMINGHAM AL
04539791 1780845040 HUNTER, JOHN D MD OBILE AL
02528293 1336531300 HUNTER, MARY A CRNP MOBILE AL
05333095 1952720849 HUNTER, RACHEL L MD MOBILE AL
06753500 1740261973 HURD, WILLIAM W MD BIRMINGHAM AL
04739561 1235429481 HURST, MICHAEL G MD BIRMINGHAM AL
08531864 1275582231 HURT, JOHN B PA BIRMINGHAM AL
05634850 1487025466 HURT, STACI H CRNP BIRMINGHAM AL
00931705 1689101297 HUSSAIN, ZEIAD MD MOBILE AL
00123458 1366533366 HUTCHENS, DENNIS W MD MOBILE AL
06970862 1053538736 HWANGPO, INKIL DO NORTHPORT AL
01057748 1841451101 HWANGPO, TRACY A MD BIRMINGHAM AL
03170275 1528389517 HYATT, DUSTIN C MD FLORENCE AL
09436761 1033425764 IANNONE, ALEX T DO BIRMINGHAM AL
00104704 1184112856 IDRISS, RAJAB MD MOBILE AL
06631562 1376153601 IFTIKHAR, SEEMAL MD MOBILE AL
01504546 1750820346 ILIFF, GREIRE H CRNP MOBILE AL
02208585 1124424817 ILONZE, CHIBUZO C MD MOBILE AL
03353737 1821074147 IMRAN, HAMAYUN MD MOBILE AL
08721262 1477669687 INGRAM, MARTHA A CRNP BIRMINGHAM AL
04523704 1356553408 INNIS-SHELTON, RACQUEL D MD BIRMINGHAM AL
02809838 1962451971 IQBAL, IJAZ M MD MOBILE AL
08834524 1659913713 IRELAND, ANNA P PA BIRMINGHAM AL
02801205 1942863576 ISBELL, SARAH A CRNP BIRMINGHAM AL
07072352 1104116417 IYER, ANAND S MD BIRMINGHAM AL
02778204 1609886324 IYER, PALLAVI MD BIRMINGHAM AL
Jan 31, 2021 36 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01080720 1326656612 JACKSON, ASHLEY M CRNP MOBILE AL
03278533 1962484766 JACKSON, ELIZABETH A MD BIRMINGHAM AL
02984752 1104889070 JACKSON, GREGORY D MD BIRMINGHAM AL
09003393 1114922036 JACKSON, GREGORY R OD MOBILE AL
07326374 1134638646 JACKSON, SABRINA M CRNP BIRMINGHAM AL
04685310 1790799211 JACKSON, STEPHEN MD FOLEY AL
04731010 1730132556 JACOB, MINA MD MOBILE AL
01455352 1982687596 JACOB, ROJYMON MD BIRMINGHAM AL
05234502 1376193144 JAFAR, BEDOUR Y MD MOBILE AL
09382765 1285023986 JAGPAL, APRAJITA MD BIRMINGHAM AL
09874596 1750584843 JAIN, GAURAV MD BIRMINGHAM AL
06228777 1215223938 JAISANI, ZEENAT MD BIRMINGHAM AL
09407271 1801319223 JAKOBOSKI, SUSAN L NP MOBILE AL
02131018 1104374404 JAMES, ANDREA C CRNP BIRMINGHAM AL
03906837 1598148926 JAMES, ANNA H CRNP BIRMINGHAM AL
05078045 1790128791 JAMES, ROSE F MD BIRMINGHAM AL
01875220 1407297864 JAMY, OMER H MD BIRMINGHAM AL
02859886 1164935672 JANSEN, JAN O MD PH BIRMINGHAM AL
05628255 1194274506 JANSEN, TAYLOR CRNP BIRMINGHAM AL
01950858 1235696709 JARRETT, MEGHAN CRNP BIRMINGHAM AL
02229567 1780132290 JASPER, AARON A FNP NORTHPORT AL
04802837 1861883225 JEFCOAT, KRISHNA Y NP MOBILE AL
05579714 1114488350 JEFFERSON, RICHELLE A MD MOBILE AL
05200363 1912436759 JEFFREY KNIGHT, JADA M CRNP BIRMINGHAM AL
03589290 1083642011 JENKINS, SHERI M MD BIRMINGHAM AL
09250524 1336164482 JENKINS, TODD R MD BIRMINGHAM AL
03385897 1629427406 JENSEN, JESSICA L CRNP MOBILE AL
02029831 1477911816 JEYARAJAN, HARISHANKER MD BIRMINGHAM AL
Jan 31, 2021 37 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01403741 1316207244 JIANG, NAN MD BIRMINGHAM AL
01232002 1942283932 JIMINEZ, STEPHANIE S MD GARDENDALE AL
00014896 1902833916 JOHNSON JR, WALTER H MD BIRMINGHAM AL
00337354 1033192034 JOHNSON, ALEX W MD GARDENDALE AL
07650330 1184668535 JOHNSON, ALISA B MD NORTHPORT AL
03282522 1679912612 JOHNSON, AMY H CRNP BIRMINGHAM AL
07203720 1023471455 JOHNSON, ERIK R MD BIRMINGHAM AL
02200081 1831664176 JOHNSON, FATIHA CRNP BIRMINGHAM AL
01702861 1811313125 JOHNSON, HOLLY D CRNP BIRMINGHAM AL
09078568 1487663225 JOHNSON, JAMES E MD BIRMINGHAM AL
03670526 1346470069 JOHNSON, JEREMY MD RED BAY AL
00114662 1710980123 JOHNSON, JOHN F MD MOBILE AL
06728718 1013545391 JOHNSON, KYLE W DO MOBILE AL
00114809 1740222587 JOHNSON, MARK V MOBILE AL
09534209 1275748428 JOHNSON, MICHAEL D MD BIRMINGHAM AL
00809352 1275791287 JOHNSON, PHOEBE R CRNP BIRMINGHAM AL
08135203 1184651630 JOHNSON, VICTORIA A MD BIRMINGHAM AL
00111521 1770581589 JOHNSON, WILLIAM III E MOBILE AL
09225826 1316191968 JOHNSON-JACKSON, TOKEYSHA M CRNP BIRMINGHAM AL
03653772 1770093882 JOHNSTON, ALISA L NP BIRMINGHAM AL
00189068 1154544401 JOHNSTON, JAMES M MD BIRMINGHAM AL
05555302 1144257726 JOINER, DARRELL W MD BIRMINGHAM AL
03384235 1023309127 JOLY, JOANNA M MD BIRMINGHAM AL
00150586 1841533809 JONES, BENJAMIN A MD BIRMINGHAM AL
00115704 1891766572 JONES, CHARLES F MD MOBILE AL
09770971 1346878360 JONES, ELIZABETH C MD MOBILE AL
04657091 1700347986 JONES, JARED M M.D. MOBILE AL
05502566 1497027387 JONES, JESSE G MD BIRMINGHAM AL
Jan 31, 2021 38 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00624019 1083175251 JONES, JONATHAN D MD MOBILE AL
06803324 1144200130 JONES, KEITH A MD BIRMINGHAM AL
03385739 1982043337 JONES, LAURA W CRNP BIRMINGHAM AL
07078385 1477171510 JONES, LOREN L CRNP MOBILE AL
03530345 1255645594 JONES, NATHANIEL L MD MOBILE AL
07756724 1710388509 JONES, VANESSA L CRNP MOBILE AL
06371704 1477873495 JORDAN, BRYAN J M.D. MOBILE AL
05437092 1760943013 JORDAN, RONALD S DO MOBILE AL
08557000 1083068894 JORGE, ERIC A MD BIRMINGHAM AL
01137539 1972706067 JUDD, ERIC K MD BIRMINGHAM AL
00019357 1215964861 JULIAN, BRUCE A MD BIRMINGHAM AL
02333558 1275560757 JULIAN, RACHEL A MD BIRMINGHAM AL
03537598 1306230594 JULIAN, ZOE MD BIRMINGHAM AL
07053366 1023567112 JULIUS, SONYA P CRNP BIRMINGHAM AL
06309591 1083743009 JURASEK, MELEAH CRNP MOBILE AL
01459570 1457989063 KAELIN, TYLER MD MOBILE AL
06075346 1952658320 KALAGARA, HARI K MD BIRMINGHAM AL
07157235 1538540208 KALRA, SARATHI MD MOBILE AL
03324759 1811225097 KANDASAMY, JEGEN MD BIRMINGHAM AL
00126135 1316928054 KANNEGIETER, LANE S MD MOBILE AL
09520208 1154950582 KARIVEDA, SANTHOSHI R MD MOBILE AL
00054385 1003223603 KARUKAPPADATH, RIAZ M MD BIRMINGHAM AL
08456253 1689986382 KASSEL, RACHEL MD BIRMINGHAM AL
09576791 1487281598 KASSELS, HAYDEN MD MOBILE AL
05037598 1477180586 KASSELS, MATTHEW MD MOBILE AL
05674361 1639386733 KAULFERS, ANNE MARIE D MD MOBILE AL
05626041 1457656456 KAYANI, NAJMA MD MOBILE AL
06322835 1013144484 KAZAMEL, MOHAMED MD BIRMINGHAM AL
Jan 31, 2021 39 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05976264 1194775940 KEENE, KIMBERLY S MD BIRMINGHAM AL
02952045 1386031763 KEITH, CLAIRE S MD BIRMINGHAM AL
08756852 1285671826 KELLEY, GENA S CRNP BIRMINGHAM AL
01670550 1164701157 KELLEY, JONATHAN B PA BIRMINGHAM AL
01208334 1255738332 KELLY, AMANDA M CRNP MOBILE AL
08874743 1972557338 KEMMERLY, ANITA S MD MOBILE AL
03872591 1881952786 KEMP, JULIE S CRNP BIRMINGHAM AL
08800858 1609296821 KEMPTON, JESSICA M MD BIRMINGHAM AL
08354017 1689602542 KENNEDY, JOHN I MD BIRMINGHAM AL
08224335 1558309732 KENNEDY, RUTH L CFNP MOBILE AL
04484267 1700264074 KENT, KATHERINE A CRNP BIRMINGHAM AL
07903893 1366718595 KENT, VLADA CRNP BIRMINGHAM AL
08656851 1598229031 KESSLER, ISABEL C PA MOBILE AL
06606891 1851328702 KEW II, CLIFTON E MD BIRMINGHAM AL
08059282 1881839900 KEY, CHRISTOPHER D MD BIRMINGHAM AL
07126356 1861837155 KEZAR, CAROLYN E MD BIRMINGHAM AL
08877591 1174529176 KEZAR, EDWIN P MD BIRMINGHAM AL
04459376 1922035872 KEZAR, LAURA B MD BIRMINGHAM AL
07489553 1205164969 KHAMIS, FIRAS MD MOBILE AL
05032703 1427021435 KHAN, NEELAM A MD MOBILE AL
06370511 1972558369 KHATRI, SNEHAL MD BIRMINGHAM AL
06537212 1972764231 KHOURY, CHARLES A MD BIRMINGHAM AL
00834798 1093325300 KHUBCHANDANI, SAGAR MD MOBILE AL
03877838 1750546735 KHUSHMAN, MOH'D M MD MOBILE AL
05134721 1407142086 KIDD, AYESHA OD FAIRHOPE AL
07156721 1760829907 KILGO, WILLIAM A MD MOBILE AL
07374555 1225449317 KILPATRICK, DAVID L MD BIRMINGHAM AL
06629709 1144218017 KIM, JINSUH MD BIRMINGHAM AL
Jan 31, 2021 40 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00559731 1316233539 KIM, JOONSEOK MD BIRMINGHAM AL
03607394 1992733828 KIM, ROBERT Y MD BIRMINGHAM AL
00909311 1750318267 KIMBERLY, ROBERT P MD BIRMINGHAM AL
09109233 1346752490 KIMBRELL, SARA M CRNP BIRMINGHAM AL
04673371 1407992746 KING, COLLIN K MD BIRMINGHAM AL
03370519 1548529167 KING, JESSICA H MSN MOBILE AL
06809724 1467807487 KING, LAUREN G CRNP MOBILE AL
00125098 1780612838 KING, PETER H MD BIRMINGHAM AL
09437757 1861514986 KING, TIMOTHY W MD BIRMINGHAM AL
00682082 1497239511 KINGS, KATHRYN M PA MOBILE AL
09875336 1740461292 KINNARD, CHRISTOPHER M MD MOBILE AL
04273816 1285945899 KINSAUL, ADAM D CRNP BIRMINGHAM AL
00125474 1013956697 KIRBY JR, DALE S MD MOBILE AL
00016788 1316995053 KIRBY, JOHN D MD MOBILE AL
03751283 1699817536 KIRK, JESSICA L MD MOBILE AL
04150744 1669778635 KIRKMAN, LINDA S DNP BIRMINGHAM AL
04288297 1023147873 KIRKSEY, KENESHIA M MD BIRMINGHAM AL
00877594 1417984972 KISSEL, REBECCA B MD BIRMINGHAM AL
01885365 1376530154 KLASNER, ANN E MD BIRMINGHAM AL
09682503 1396791158 KLECKER, ROSEMARY J MD MOBILE AL
05358818 1356786453 KLEIN, ADAM B MD BIRMINGHAM AL
00126464 1386620912 KLEINMANN, MICHEAL C DO MOBILE AL
09284724 1700235876 KLEINSCHMIDT, THOMAS K MD BUTLER AL
00019060 1396786836 KLEINSCHRODT, WILLIAM R MD MOBILE AL
00118889 1841227477 KLINE, LANNING B MD BIRMINGHAM AL
09121026 1205067659 KNIGHT, ROBYN L CRNP BIRMINGHAM AL
08729581 1124077268 KNOWER, MARK MD FOLEY AL
09924327 1811011448 KNOWLES, KURT J MD MOBILE AL
Jan 31, 2021 41 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04281061 1790172666 KNOX, ROBERT H MD BIRMINGHAM AL
08687251 1366837247 KNUPP, RUBYMEL J MD BIRMINGHAM AL
09624551 1851737746 KOBELJA, ROBERT MD MOBILE AL
03988710 1043617855 KOHN, BRANDI L NP MOBILE AL
04658891 1720390735 KOKIOUSIS, JUSTIN P CRNP BIRMINGHAM AL
07923803 1679918940 KOLE, ADAM J MD BIRMINGHAM AL
00207086 1750601696 KOLE, LAUREN C MD BIRMINGHAM AL
05953821 1336177450 KOLETTIS, PETER N MD BIRMINGHAM AL
05422701 1396025912 KOPF, ROBERT S CRNP BIRMINGHAM AL
04857553 1124462973 KOPF, SABRINA D CRNP BIRMINGHAM AL
01856744 1790982338 KRAEMER, RYAN R MD BIRMINGHAM AL
02577253 1033353446 KRAGULJAC, NINA MD BIRMINGHAM AL
09858221 1003351727 KREBSBACH, MACKENZIE N CRNP MOBILE AL
09375353 1043452766 KRICK, STEFANIE MD BIRMINGHAM AL
02279858 1063062115 KUEHN, MARIA PA-C BIRMINGHAM AL
03204235 1619056058 KUKREJA, PROMIL MD BIRMINGHAM AL
02226767 1043531593 KULKARNI, TEJASWINI MD BIRMINGHAM AL
05939304 1871145938 KUMAR, SAGAR MD MOBILE AL
00608532 1033146790 KUMAR, VINEETA MD BIRMINGHAM AL
00953564 1518998939 KURZ, MICHAEL C MD BIRMINGHAM AL
01309017 1083761977 KUTNY, MATTHEW A MD BIRMINGHAM AL
02935568 1497199210 KWON, SOO YOUND MD BIRMINGHAM AL
09152247 1073715876 KYANAM KABIR BAIG, KONDAL R MD BIRMINGHAM AL
00118312 1073661500 KYRIAZIS, DIMITRIS K MD MOBILE AL
06526867 1164969531 LACEY, HALEY D CRNP BIRMINGHAM AL
04573024 1861830390 LAFON, CAROLINE A CRNP BIRMINGHAM AL
01924818 1023375169 LAFON, DAVID MD BIRMINGHAM AL
01781867 1467871269 LAGASSE, GRACE A MD MOBILE AL
Jan 31, 2021 42 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01977865 1477646925 LAHTI, ADRIENNE C MD BIRMINGHAM AL
02235713 1902454366 LAINOFF, MEGHAN A PA-C BIRMINGHAM AL
01720732 1538323738 LAL, CHARITHARTH V MD BIRMINGHAM AL
06485524 1124370564 LALAK, SAMANTHA D CRNP BIRMINGHAM AL
05254302 1831532472 LALOR, KATHRYN B MD BIRMINGHAM AL
03351531 1073599601 LAMAR, WILLIAM B MD MOBILE AL
06388745 1053639351 LANCASTER, RACHAEL K MD BIRMINGHAM AL
08884233 1508156761 LAND, ANDREW M MD BIRMINGHAM AL
02776094 1962440941 LANDEFELD, CHARLES S MD BIRMINGHAM AL
05423081 1003861816 LANDY, DAVID J MD BIRMINGHAM AL
05776326 1700232527 LANE, CHARITY R CRNP BIRMINGHAM AL
08501817 1740218965 LANE, PETER S DO BIRMINGHAM AL
09781031 1497782031 LANGSTON, MARK C MD BIRMINGHAM AL
03207364 1821021312 LANGSTON, SUMMER B CRNP BIRMINGHAM AL
00126803 1669470423 LARKIN, DANIELS J MD MOBILE AL
07438371 1881659407 LARRISON, MATTHEW C MD BIRMINGHAM AL
03839370 1255316535 LARSON, CRAIG S MD MOBILE AL
00184211 1285764456 LASKAY, KATHLEEN M CRNP MOBILE AL
05706791 1588007686 LAU, KARLEE H MD BIRMINGHAM AL
00126869 1033151352 LAU, YUNG R MD BIRMINGHAM AL
07883006 1053973867 LAVU, RAKESH MD MOBILE AL
06989317 1003926270 LAW, CHARLES R MD BIRMINGHAM AL
07978249 1780858225 LAW, MARK A MD BIRMINGHAM AL
06870941 1063947919 LAWRENCE, AUSTEN T DO MOBILE AL
00122560 1669657896 LAWRENCE, JAMES MD MOBILE AL
09982508 1053654731 LAWRENCE, MICHAEL S MD MOBILE AL
09054241 1386036671 LAWSON, CHAELI H CRNP BIRMINGHAM AL
05606582 1689655235 LAZARCHICK, JOHN J MOBILE AL
Jan 31, 2021 43 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09951562 1942695762 LAZARRE, ELLEN D CRNP BIRMINGHAM AL
07300247 1992914956 LAZENBY, EMILY H BIRMINGHAM AL
06702051 1043205719 LAZENBY, JOHN P MD BIRMINGHAM AL
01801894 1255313193 LEATH III, CHARLES A MD BIRMINGHAM AL
09388733 1912043795 LEDOUX, JOHN F MD MOBILE AL
04207927 1710239934 LEE, APRIL M CRNP BIRMINGHAM AL
03586787 1639312374 LEE, GOO MD BIRMINGHAM AL
09277700 1235461930 LEE, JI YOUNG MD MOBILE AL
08853746 1861719114 LEE, RACHAEL A MD BIRMINGHAM AL
07637862 1902318306 LEE, REBECCA W CRNP BIRMINGHAM AL
02855765 1275753147 LEE, TIMMY MD BIRMINGHAM AL
03076391 1477868610 LEE, YANN-LEEI L MD MOBILE AL
02408599 1215937446 LEESAR, MASSOUD A MD BIRMINGHAM AL
08370324 1588891725 LEISCH, LEAH J MD BIRMINGHAM AL
04904295 1932399318 LENNEMAN, ANDREW J MD BIRMINGHAM AL
04028231 1902111578 LENTZ, ALEXANDRA J CRNP BIRMINGHAM AL
02489218 1568014272 LEON PAREDES, STEPHANIE MD MOBILE AL
09532204 1861420440 LEON, KEVIN J MD BIRMINGHAM AL
01377227 1083146922 LEPAGE, JAMES R DO MOBILE AL
00014750 1295783181 LERNER, ROBERT D MD MOBILE AL
00013793 1871541482 LESTER, FRANK M MD MOBILE AL
09703220 1932646452 LETT, CAITLIN J CRNP BIRMINGHAM AL
04575381 1639173271 LEWIS SR, CLIFTON T MD BIRMINGHAM AL
07688541 1316409592 LEWIS, JUSTIN L CRNP BIRMINGHAM AL
05603294 1629060785 LEYTHAM, THOMAS J MD MOBILE AL
07372091 1487898896 LI, LI MD BIRMINGHAM AL
09686019 1811209703 LIANG, MARGARET I MD BIRMINGHAM AL
09404523 1700102597 LIANG, WAYNE MD BIRMINGHAM AL
Jan 31, 2021 44 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03777851 1184098048 LIEB, LAURA P CRNP BIRMINGHAM AL
06409761 1760659684 LIGHTNER JR, JOEL E MD GARDENDALE AL
09356245 1306050109 LILES, JOE S MD MOBILE AL
05031750 1619451150 LILJEGREN, MICHAEL T PA MOBILE AL
07436309 1447668942 LIM, WHEI Y MD MOBILE AL
09003821 1942576285 LIN, CHEN MD BIRMINGHAM AL
05884716 1760828560 LIN, DIANA M MD BIRMINGHAM AL
04234862 1568819787 LINTNER, ALICIA C MSB, MOBILE AL
08779547 1679788525 LITTLE, MARK D MD BIRMINGHAM AL
03854527 1679056527 LITWILLER, KIMBERLY CRNP MOBILE AL
00122940 1235149907 LLOYD, LEWIS K MD BIRMINGHAM AL
06520064 1629008008 LLOYD, STEVEN G MD BIRMINGHAM AL
03187304 1063832046 LOBBOUS, MINA A MD BIRMINGHAM AL
04330025 1568801363 LOBERGER, JEREMY MD BIRMINGHAM AL
09527013 1043243991 LOCKHART, LARRY R MD MOBILE AL
00124550 1972534345 LOCKHART, MARK E MD BIRMINGHAM AL
07451352 1609227578 LOCY, MARISSA K OD BIRMINGHAM AL
09231547 1821548348 LOGAN, JESSICA D CRNP BIRMINGHAM AL
06688759 1205296985 LOIACONO, COURTNEY M CRNP BIRMINGHAM AL
05729848 1477556991 LOLLEY, VIRGINIA R MD BIRMINGHAM AL
00121653 1861477887 LONG, GARY W BIRMINGHAM AL
04682301 1114130408 LONG, JAMES A MD BIRMINGHAM AL
07678029 1023376746 LOPEZ, MICHAEL A MD BIRMINGHAM AL
06801064 1144473661 LOTT, NOAH T MD TUSCALOOSA AL
03152771 1356885883 LOVELL, KELLY M CRNP BIRMINGHAM AL
00089791 1558562058 LOWTHERT, LORI A MD DAPHNE AL
00016520 1639220270 LUCAS, ERIC D MD MOBILE AL
01226207 1972017895 LUCAS, WHITNEY C CRNP BIRMINGHAM AL
Jan 31, 2021 45 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02175009 1053431338 LUCKHARDT, TRACY R MD BIRMINGHAM AL
06357505 1255726832 LUDVIK, NICHOLAS R MD MOBILE AL
06881365 1619930047 LUNDSTROM, TREVOR A MD BIRMINGHAM AL
01875004 1487869244 LURSEN, KATHERINE P MD MOBILE AL
05807702 1841628096 LUSK, SUMMER B CRNP BIRMINGHAM AL
09286019 1700815891 LUTZ, PETER O MD MOBILE AL
09457368 1154648400 LYAS, CLARETHA N MD BIRMINGHAM AL
09471564 1649710054 LYLE, KATHRYN M CRNP BIRMINGHAM AL
04554833 1710918248 LYMAN, JAMES D MD BIRMINGHAM AL
07509291 1689159634 LYNCH, CHAD W CRNP BIRMINGHAM AL
09603255 1710097399 LYNN, WILLIAM S MD GARDENDALE AL
06287584 1700052966 LYONS III, LEWIS MD MOBILE AL
09934869 1154766095 MACBETH, LISA MD BIRMINGHAM AL
06582755 1730505942 MACK, SHEKELA J CRNP BIRMINGHAM AL
08838846 1245253814 MACK-WILLIAMS, MYRIA A MD MOBILE AL
08176093 1710214820 MACKINNON JR, ALEXANDER C MD BIRMINGHAM AL
07689301 1952411837 MACLIN, JEANINE S MD BIRMINGHAM AL
09684394 1053529289 MADDOX, MARY BIRMINGHAM AL
01687826 1003030693 MADDOX, WILLIAM R MD BIRMINGHAM AL
03789093 1649220781 MADELAIRE, CARLINA MD MOBILE AL
03509364 1427491281 MADISON, RANDALL D MD MOBILE AL
00017940 1912951195 MAERTENS, PAUL MD MOBILE AL
08927595 1255697868 MAGDY, MOHAMED A MD BIRMINGHAM AL
06806550 1366460404 MAGRUDER, TERESA G MD BIRMINGHAM AL
05308271 1780818542 MAGUIRE, RAYMOND J MD MOBILE AL
04007736 1831259043 MAHLER, LEX D DO BUTLER AL
04328793 1548611551 MAHMOOD, SHOAIB Y MD BIRMINGHAM AL
04125745 1972845378 MAI, EMILY G MD BIRMINGHAM AL
Jan 31, 2021 46 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01105821 1548392228 MAIOLA, ANGELA D CRNP BIRMINGHAM AL
06236596 1518960038 MAKAMSON, BENJAMIN J DO MOBILE AL
07852790 1508322231 MAKINO, AKIKO I CRNP MOBILE AL
00124237 1649224874 MALCOLM, IAN G MD MOBILE AL
04301362 1992323414 MALIK, HAJIRA Z MD MOBILE AL
09545034 1356409320 MALOZZI, CHRISTOPHER M DO MOBILE AL
01623048 1295826378 MALOZZI, KATHRINE L DO MOBILE AL
00018838 1487702999 MALTESE, CARL MD MOBILE AL
07905523 1356618292 MANAPRAGADA, PADMA P MD BIRMINGHAM AL
00018680 1073567293 MANCI, ELIZABETH A MD MOBILE AL
00117432 1437188547 MANDABACH, MARK G MD BIRMINGHAM AL
04053306 1780246462 MANJUNATH, CHAITRA MD MOBILE AL
08751048 1902086549 MANN, JAMES C MD BIRMINGHAM AL
09989017 1689132698 MANSKOW, ALICIA K CRNP BIRMINGHAM AL
06623532 1114198637 MARASS, ASHLEY D CRNP MOBILE AL
09282751 1801155742 MARBUT, STEPHEN M MD MOBILE AL
00131310 1093127425 MARCROM, SAMUEL R MD BIRMINGHAM AL
06355561 1528098001 MARK, VICTOR W MD BIRMINGHAM AL
01571853 1760413645 MARKERT JR, JAMES M MD BIRMINGHAM AL
00124484 1851320725 MARQUES, MARISA B MD BIRMINGHAM AL
07381069 1306926399 MARRAZZO, JEANNE M MD BIRMINGHAM AL
03384760 1497918395 MARRI, PREETHI R MD MOBILE AL
04509864 1023338340 MARSH, JILL W MD BIRMINGHAM AL
04853396 1174560783 MARSHALL, CAROLINE B MD BIRMINGHAM AL
09350218 1083119473 MARSHALL, MICHAEL L MOBILE AL
09680280 1811338718 MARTIN, KERI S CRNP BIRMINGHAM AL
03738364 1336102391 MARTIN, TERRY K MD BIRMINGHAM AL
00114660 1477556074 MARTINDALE, GEORGE H MD MOBILE AL
Jan 31, 2021 47 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01207254 1518257575 MARTINEZ, JR., JESSE C MD BIRMINGHAM AL
05432819 1841238011 MARTINO, ANTHONY M MD MOBILE AL
01489020 1144749821 MARTINSEN, ANGELA M PA MOBILE AL
00278826 1649268400 MARZULLO, LAURIE R MD BIRMINGHAM AL
01579291 1033161377 MATHEWS, JR., RONNIE E MD BIRMINGHAM AL
07836714 1346312931 MATOS RUIZ, NELSON F MD BIRMINGHAM AL
08403329 1972963106 MATOS-RAMOS, YARICET M CRNP BIRMINGHAM AL
04400858 1619251568 MATTEI, MARY L CRNP MOBILE AL
09307562 1366704991 MATTHEWS, LINDSEY E MD BIRMINGHAM AL
03388272 1235767088 MATTINGLY, CHRISTINA MD MOBILE AL
02505707 1184043069 MAY, BRIAN MD BIRMINGHAM AL
00119391 1255372561 MAYER, DAVID C MD MOBILE AL
07806038 1699784678 MAYS, ANDREW J MD BIRMINGHAM AL
05829008 1013278035 MAYS, JANEEN S CRNP BIRMINGHAM AL
06307510 1669586459 MCBETH, MICHAEL MD THOMASVILLE AL
07632504 1396821161 MCCAMMON, SUSAN D MD BIRMINGHAM AL
04335815 1881100659 MCCARTY, AMANDA C CRNP BIRMINGHAM AL
06706515 1790002046 MCCARTY, TODD P MD BIRMINGHAM AL
00115739 1801877543 MCCASLIN, MARK D MD MOBILE AL
06907798 1467089615 MCCAUL, MEGAN MD MOBILE AL
05809098 1760513204 MCCOLGIN, STERLING W MD MOBILE AL
03558049 1720243421 MCCOLLOUGH, KENNIETH C MD BIRMINGHAM AL
04202228 1720021652 MCCOLLUM, DAVID L MD BIRMINGHAM AL
01327364 1548292345 MCCORMICK, RHONDA J CRNP BIRMINGHAM AL
05931850 1568738136 MCCORMICK, SARAH L MD BIRMINGHAM AL
08726861 1538554258 MCDANIEL, KELVIN P DO FAIRHOPE AL
03086208 1073501326 MCDONALD, JOHN MD RUSSELLVILLE AL
08989353 1578545711 MCDONALD, LAINE MD BIRMINGHAM AL
Jan 31, 2021 48 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09574553 1558708883 MCDUFF, ALLIE MSN C BIRMINGHAM AL
02233809 1174552004 MCELDERRY JR, HUGH T MD BIRMINGHAM AL
02383760 1912344235 MCELDERRY, AMY S CRNP BIRMINGHAM AL
06524756 1528385879 MCELWEE, SAMUEL K MD BIRMINGHAM AL
01852723 1144510959 MCFARLAND, GRAEME E MD BIRMINGHAM AL
00118976 1831197672 MCGEE, GREGORY S MD MOBILE AL
04372361 1548429707 MCGOWIN, ALINDA G MD MOBILE AL
09458068 1053829556 MCGOWIN, EMILY F CRNP MOBILE AL
02328031 1295103307 MCGRIFF, BRIANNE R CRNP BIRMINGHAM AL
09481514 1558339861 MCGUINN, LAURA J MD BIRMINGHAM AL
00122324 1336179688 MCGUIRE, BRENDAN M MD BIRMINGHAM AL
06609716 1043519838 MCINTIRE, HOLLY L MD BIRMINGHAM AL
04752769 1417213703 MCINTOSH, ELEANOR R MD MOBILE AL
04752805 1285020347 MCKEAG, IAN D MD BIRMINGHAM AL
02029050 1710194071 MCKEAN, JR, GEORGE H M.D. MOBILE AL
04157886 1134488679 MCKEE, KELSEY C MD MOBILE AL
02276229 1851735583 MCKENZIE, ANNA M CRNP BIRMINGHAM AL
06028051 1063856680 MCKENZIE, PAULA M CRNP BIRMINGHAM AL
09682813 1316977796 MCKEOWN, JASON L MD BIRMINGHAM AL
00471536 1013159565 MCKINNEY, JAIME D MD BIRMINGHAM AL
01204317 1710340351 MCKNIGHT, KYNDAL S MD BIRMINGHAM AL
06937765 1619905593 MCLAIN, AMIE B MD BIRMINGHAM AL
07704002 1699086199 MCLEAN, MATTHEW S MD MOBILE AL
09773870 1982084877 MCLENDON, KERI J CRNP BIRMINGHAM AL
01702221 1639126741 MCMAHON JR, JOHN M MD MOBILE AL
04782346 1700025251 MCMAHON, DANIEL P MD MOBILE AL
00121746 1801988464 MCMULLAN, EDDRICE M MD MOBILE AL
06826502 1679502421 MCMURPHY, ANDREA B MD MOBILE AL
Jan 31, 2021 49 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04275239 1366004350 MCMURRAY, WILLIAM CRNP MOBILE AL
00123425 1003848813 MCNAMARA, MICHELLE M MD BIRMINGHAM AL
00489897 1649634775 MCPHERSON, REGINA K MD MOBILE AL
07134073 1649223462 MCQUISTON, SAMUEL A MD MOBILE AL
09371278 1548653405 MCRAE, NATALIE E CRNP BIRMINGHAM AL
02570597 1124385927 MCREE, CHAD W M.D. MOBILE AL
07622074 1316325046 MCSWEENEY, STEPHANIE A CRNP BIRMINGHAM AL
03652231 1396816658 MEADOR, RICHARD S MD MOBILE AL
03774531 1861629230 MEADOR, WILLIAM R MD BIRMINGHAM AL
06251569 1154687887 MEDALLE, THERESE M MD BIRMINGHAM AL
09576041 1568752459 MEERS, JACOB B MD BIRMINGHAM AL
04152557 1790914844 MEESE, MERRICK M MD BIRMINGHAM AL
04337037 1003122573 MEHTA, AMITKUMAR N MD BIRMINGHAM AL
05575391 1396277539 MEHTA, ANITA D MD MOBILE AL
05823718 1740493386 MEHTA, SHIKHA MD BIRMINGHAM AL
07086517 1679918320 MELANCON, ERIC E MD MOBILE AL
01028031 1841432481 MELENEVSKY, YULIA V MD BIRMINGHAM AL
08925717 1841309804 MELLICK, LARRY B MD MOBILE AL
02354350 1114304730 MELSON, MATTHEW T DO HAMILTON AL
09872501 1790718658 MELTON, CASEY W MD MOBILE AL
05574708 1598147134 MEMON, ADEEL A MD BIRMINGHAM AL
09200222 1205128790 MENGER, RICHARD P MD MOBILE AL
00574342 1851322200 MERCADO, PATRICIA J MD BIRMINGHAM AL
03550248 1427279579 MERRITT, BRANDY E MD MOBILE AL
00809252 1891107546 MERSCHMAN, KERI MD HAMILTON AL
00123409 1538112701 MESHAD, MICHAEL W MD MOBILE AL
00013689 1508885559 MESTRE, JOSE R MD BIRMINGHAM AL
08152822 1134468242 METCALF, HEATHER N CRNP BIRMINGHAM AL
Jan 31, 2021 50 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09171857 1235456567 METROCK, LAURA K MD BIRMINGHAM AL
04886520 1023243409 MEYER, ISUZU MD BIRMINGHAM AL
03623285 1215408364 MICHAELI, DAVID MOBILE AL
02236894 1649807751 MIDDLETON, THOMAS MD MOBILE AL
00118132 1972645612 MILLER, JEANNIE H NP HAMILTON AL
07974076 1619172285 MILLER, JONATHAN MD MOBILE AL
03320226 1366070286 MILLER, KALEIGH E MD MOBILE AL
03452782 1245707629 MILLER, MARIEL E CRNP BIRMINGHAM AL
00075517 1215911490 MILLER, PETER D MD BIRMINGHAM AL
07171083 1740228600 MILLER, THERESA P PA MOBILE AL
01158240 1063771210 MILTEER, HUGH B JR MD MOBILE AL
01207841 1265732994 MINCHEW, LEIGH A CRNP MOBILE AL
08357552 1386791259 MINTO, LAURA E MD MOBILE AL
04830222 1447316195 MINTO, SCOTT E MD MOBILE AL
09526596 1376788521 MINTON, MARK PA-C MOBILE AL
04703753 1578917357 MINTSIN, OLESEA A CRNP BIRMINGHAM AL
04872561 1457363475 MIRE, CHRISTOPHER D MD FAIRHOPE AL
03189263 1578750931 MITCHELL, AVA D NP BIRMINGHAM AL
00119645 1730175068 MITCHELL, BARBARA MD MOBILE AL
08377592 1174726160 MITCHELL, HEATHER F M.D. BIRMINGHAM AL
00879254 1407284292 MITCHELL, RACHEL H CRNP BIRMINGHAM AL
06353884 1538195342 MITCHELL, VELMA D CRNP BIRMINGHAM AL
01885355 1629344205 MLADINOV, DOMAGOJ MD BIRMINGHAM AL
03038879 1053611293 MNEIMNEH, WADAD MD MOBILE AL
05278353 1659309912 MOBLEY, JANE E MD BIRMINGHAM AL
09479298 1205383023 MOHAMED, ISMAIL MD BIRMINGHAM AL
03183066 1205193646 MOLINA, ADOLFO L MD BIRMINGHAM AL
00126098 1295780161 MOLOKHIA, EHAB A MD MOBILE AL
Jan 31, 2021 51 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04973883 1508156894 MOMAYA, AMIT M MD BIRMINGHAM AL
04009392 1912296476 MOMPOINT WILLIAMS, DARNELL DNP BIRMINGHAM AL
09684319 1740668383 MONTOYA MOTINO, DELMER MD MOBILE AL
00118042 1366472797 MOORE II, THOMAS A MD BIRMINGHAM AL
04132299 1346802808 MOORE, ALLIE O CRNP MOBILE AL
09486855 1689074668 MOORE, EMILY C CRNP MOBILE AL
05371780 1205128451 MOORE, JEREMY DO MOBILE AL
05359053 1871810812 MOORE, MONICA A CRNP MOBILE AL
03389008 1396225462 MOORE, RACHEL CRNP MOBILE AL
00452311 1861490476 MOORE, SCOTT G MD CHATOM AL
06458768 1902269400 MORENO, CESAR G MOBILE AL
08987050 1063040376 MORENO, DOMINIQUE DO MOBILE AL
02223221 1295219632 MORGAN, CRYSTAL D FNP MOBILE AL
00116887 1114958832 MORGAN, DESIREE MD BIRMINGHAM AL
04185015 1154952547 MORGAN, LAUREN CRNP MOBILE AL
03734277 1134154362 MORGAN, SARAH L MD BIRMINGHAM AL
00180266 1164457909 MORRIS, JASON L MD BIRMINGHAM AL
04852389 1003011859 MORRIS, MELANIE S MD BIRMINGHAM AL
08434390 1972629392 MORRISON, ESTHER MD MOBILE AL
08129260 1053828459 MORRISON, JESSICA B CRNP BIRMINGHAM AL
02155201 1477037588 MORRISON, KATIE L PA MOBILE AL
00111935 1821038803 MORROW JR, JOHN A MD MOBILE AL
02083876 1437120219 MORROW, JEFFERY A OD MOBILE AL
09606002 1649352741 MORROW, MARTHA R OD RED BAY AL
09389057 1598238453 MORROW, STEPHANIE W CRNP BIRMINGHAM AL
08376399 1992948178 MOSE, BELINDA M CRNP MOBILE AL
00270082 1659668721 MOSES, KELLY E MD MOBILE AL
09022557 1962867127 MOSLEY, JESSICA FNP LIVINGSTON AL
Jan 31, 2021 52 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06858208 1861007262 MOSS, CHARLOTTE A CRNP MOBILE AL
04121562 1629513023 MOUNT, KATE M CRNP MOBILE AL
02337065 1427458553 MOWDY, MALLORY E FNP RAGLAND AL
00121612 1770537318 MOWRY, MARGARET M MD MOBILE AL
01731070 1952331332 MRUG, MICHAL MD BIRMINGHAM AL
04937296 1366903890 MUDYANADZO, TATENDA A MD MOBILE AL
03971304 1518594621 MUELLER, LUKE DO MOBILE AL
08326345 1699087205 MUHLHOFER, WOLFGANG G MD BIRMINGHAM AL
08455212 1619199403 MULLICAN, DODD F MD BIRMINGHAM AL
07625803 1063624732 MULLICAN, SARAH K MD BIRMINGHAM AL
04430721 1922255868 MULYALA, RAJASEKHAR MD MOBILE AL
00124915 1497730766 MUNDERLOH, STEPHEN H MD MOBILE AL
00119955 1558423756 MUNN, MARY B MD MOBILE AL
08586791 1861953648 MURFEE, JOHN R MD MOBILE AL
04787391 1801357074 MURPHY, AUDREY M MD MOBILE AL
00033511 1851899033 MURPHY, DANIELLE L CRNP BIRMINGHAM AL
00012583 1336130541 MURPHY, PATRICK L MD MOBILE AL
00383595 1508343112 MURRAY, KELLY M PA MOBILE AL
00926817 1386105864 MUSSELWHITE, CHRISTOPHER C MD MOBILE AL
06175827 1366547473 MUZNY, CHRISTINA A MD BIRMINGHAM AL
02739713 1154769545 MYC, LUKASZ A MD MOBILE AL
09670721 1639398019 MYERS, LORI A MD MOBILE AL
01309783 1376785170 MYERS, RENE P MD BIRMINGHAM AL
06883805 1700810009 NABELL, LISLE M MD BIRMINGHAM AL
00122284 1013961234 NABERS JR, JAMES W DO RED BAY AL
07722501 1225068620 NABORS, LOUIS B MD BIRMINGHAM AL
00276555 1306003579 NADER, MATHIEU W MD BIRMINGHAM AL
08903260 1811979057 NAFZIGER, SARAH D MD BIRMINGHAM AL
Jan 31, 2021 53 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01779075 1124079058 NAGI, PETER A MD BIRMINGHAM AL
05738084 1285029371 NALL, III, JOHN MD RUSSELLVILLE AL
07258530 1437301892 NANCE, AMY D CRNP BIRMINGHAM AL
00125711 1578594834 NANDA, NAVIN C MD BIRMINGHAM AL
00476061 1770897548 NANDAGOPAL, LAKSHMINARAYANA MD BIRMINGHAM AL
08276024 1053549832 NARAHARI, PRAVEEN MD DAPHNE AL
02854053 1891098851 NARANJE, SAMEER MD BIRMINGHAM AL
08423276 1578841789 NARASIMHA KRISHNA, VINAY MD BIRMINGHAM AL
06808081 1427170521 NARDUCCI JR, CARL A MD BIRMINGHAM AL
01927304 1386625507 NARITOKU, DEAN K MD MOBILE AL
01974393 1730529777 NARKHEDE, MAYUR S MD BIRMINGHAM AL
04437883 1265838445 NARUKONDA, SANDHYA MD BIRMINGHAM AL
00124604 1881624013 NATH, PISUPATI H MD BIRMINGHAM AL
04759057 1255412102 NAVEED, SAMI MD BIRMINGHAM AL
04250205 1104278829 NAZARI, ALI-RIZA MD MOBILE AL
04102751 1386088946 NEELY, JILL A MD BIRMINGHAM AL
05908366 1184788135 NELLORE, ANOMA MD BIRMINGHAM AL
00117311 1275566598 NESS, TIMOTHY J MD BIRMINGHAM AL
05183293 1063471589 NGANDO, GEORGE E MD MOBILE AL
04022872 1225422124 NGUYEN, SOMALI H CRNP BIRMINGHAM AL
03157734 1083126361 NICHOLS, MICHAEL D CRNP BIRMINGHAM AL
08630392 1437317385 NICHOLSON, TORRENCE L MD MOBILE AL
02938378 1043586514 NIEMEYER, LAUREN M CRNP FAIRHOPE AL
00022064 1346689163 NILAND, BENJAMIN R MD MOBILE AL
00011214 1922053560 NIMITYONGSKUL, PRASIT MD MOBILE AL
00126465 1083690465 NIPPER, JOHN M M.D. MOBILE AL
07051785 1215159843 NIX, JEFFREY W MD BIRMINGHAM AL
02281593 1457828444 NJUGUNA, MERCY W CRNP BIRMINGHAM AL
Jan 31, 2021 54 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03226593 1043565856 NOOLI, NISHANKKUMAR P MD BIRMINGHAM AL
05836249 1720291636 NORMAND, ROBIN CRNP MOBILE AL
05770753 1114347994 NORRIS, KYLE MD BIRMINGHAM AL
06402810 1164749875 NORTHERN, DAVID M MD BIRMINGHAM AL
04154702 1255716973 NOURANI, PEDRO A MD BIRMINGHAM AL
09574560 1225246184 NOZAKI, KENKICHI MD BIRMINGHAM AL
03039392 1134778004 NWOKEOCHA, NNEKA MOBILE AL
04430088 1093005381 NYE, LAURA H MD BIRMINGHAM AL
00116999 1821089038 O'DOWD, JOHN M MD MOBILE AL
00134234 1649681453 O'HARE, LANIER L MSN BIRMINGHAM AL
04925233 1245263466 O'REILLY, PHILIP J MD BIRMINGHAM AL
07785201 1316392103 OBERT, JOHN E MD BIRMINGHAM AL
03358376 1952938540 OBISESAN, ANTHONY MD MOBILE AL
05405549 1013986041 OCHOA, JUAN G MD MOBILE AL
05331824 1750863726 ODOM, AMY R CRNP MOBILE AL
07972078 1295767218 ODOM, GEOFFREY MD THOMASVILLE AL
03637799 1255761938 ODOM, JENNIFER NP FOLEY AL
00018783 1255489779 OGORMAN, RONALD MD MOBILE AL
04451814 1619234242 OGUNSILE, FOLUSO J MD BIRMINGHAM AL
07474754 1205044005 OKOR, MAMERHI O MD BIRMINGHAM AL
02982800 1831552538 OLIVER, CRAIG DO MOBILE AL
08831042 1891138624 OLIVER, JAMES C MD BIRMINGHAM AL
09907364 1285629923 OLSON, ELIS Y MD MOBILE AL
07359314 1063603322 OLTMANNS, MATTHEW H MD TUSCALOOSA AL
00126751 1073568895 OMAR, BASSAM A MD MOBILE AL
04926292 1114488467 OMAR, MAZEN B MD MOBILE AL
07132810 1063529568 OMEARA, KEVIN F MD FOLEY AL
01428799 1104080803 ONG, SONG C MD BIRMINGHAM AL
Jan 31, 2021 55 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08907731 1942326590 OQUENDO-CLAUDIO, MARIA MD THOMASVILLE AL
06857766 1043483191 ORANDI, BABAK MD BIRMINGHAM AL
00011201 1275580029 ORLEANS, FREDRICK S MD MOBILE AL
06306534 1568918753 OROZCO HERNANDEZ, ERIK J MD BIRMINGHAM AL
02057028 1003182189 ORR, MARY M MD BIRMINGHAM AL
03303003 1003320086 ORR, WENDY L FNP RED BAY AL
00124705 1033149737 OSER, RACHEL F MD BIRMINGHAM AL
05551760 1376646505 OSWALT JR, GUY C MOBILE AL
07103896 1467871533 OTTS, EDWARD MD MOBILE AL
03184314 1154534303 OTUGUOR, AKPOMUDIARE MD THOMASVILLE AL
00733720 1104930916 OVALLE, FERNANDO MD BIRMINGHAM AL
03128206 1902435282 OVERSTREET, JENNIFER M CRNP MOBILE AL
06633521 1073539201 OVERTON, EDGAR T MD BIRMINGHAM AL
08537069 1265463632 OWEN, JOHN MD BIRMINGHAM AL
05175753 1962683979 OWENS, THOMAS N MD BIRMINGHAM AL
07727592 1013012657 OYLER, RICHARD A MD MOBILE AL
06007091 1710448931 OZAIR, SANA MD MOBILE AL
00124706 1609888783 PACHECO, ANTONIO L MD MOBILE AL
05604390 1285089482 PACHECO, ZACHARY S MD BIRMINGHAM AL
00124955 1891740981 PACK-MABIEN, ARDIE V NP MOBILE AL
04238570 1518594605 PADARTI, AKHIL MD MOBILE AL
09873057 1275587636 PADGETT, MILTON DO RED BAY AL
06600777 1942512637 PAI, SACHIN G MD MOBILE AL
04759217 1689607863 PAMBOUKIAN, SALPY V MD BIRMINGHAM AL
03253752 1871577049 PANACEK, EDWARD A MD MOBILE AL
01875365 1285880799 PANT, AMIT MD MOBILE AL
07838549 1457890410 PANTAZIS, ELLEN S CRNP BIRMINGHAM AL
06521831 1093997967 PANWAR, BHUPESH MD BIRMINGHAM AL
Jan 31, 2021 56 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09434832 1467483933 PAPAPIETRO, SILVIO E MD BIRMINGHAM AL
06875526 1649328097 PARAGONE, CHRISTINE M PA MOBILE AL
02571226 1144517996 PARCHA, SIVA MD MOBILE AL
09557834 1194000125 PAREKH, BINITA P CRNP BIRMINGHAM AL
09077877 1093997819 PARIKH, RAJAT N MD BIRMINGHAM AL
07329395 1356968382 PARIKH, SINA MD MOBILE AL
00482005 1740438183 PARK, ELIZABETH A MD MOBILE AL
05031311 1588652424 PARK, JEONG MI MD BIRMINGHAM AL
00953041 1558528737 PARKER, CATHERINE C MD BIRMINGHAM AL
03138751 1568710499 PARKER, JONATHAN E NP MOBILE AL
03829292 1396845392 PARKER, PAMELA E MD BIRMINGHAM AL
01706547 1063644433 PARKS, AMY CRNP MOBILE AL
06477347 1538116132 PARKS, CAROL MD MOBILE AL
03982800 1457625097 PARKS, KATHLEEN NP FOLEY AL
05505070 1255525739 PARKS, MICKEY W CRNP BIRMINGHAM AL
01936810 1447792973 PARLEE, BRANDI L MSN MOBILE AL
05929556 1982011763 PARMAR, GAURAV MD BIRMINGHAM AL
07757706 1386093953 PARNELL, TERRA L CRNP MOBILE AL
03081328 1124461769 PARRIS, TYLER C MD MOBILE AL
07181063 1063467397 PARSELL, KAREN J MD MOBILE AL
04225807 1356498158 PASCHAL, RITA D MD BIRMINGHAM AL
08820089 1396844197 PASSARELLA, MICHAEL J BIRMINGHAM AL
09250591 1386903516 PASSMAN, CORA L CRNP BIRMINGHAM AL
07023254 1417422072 PATE, EMILY CRNP MOBILE AL
00777700 1295025583 PATEL REDDY, NEHA M MD BIRMINGHAM AL
00451560 1063858975 PATEL, CHIRAG R MD BIRMINGHAM AL
08006328 1629484159 PATEL, DARSHNA H CRNP BIRMINGHAM AL
04708793 1104452168 PATEL, DRUMIL B DO MOBILE AL
Jan 31, 2021 57 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08780512 1104245737 PATEL, KRUPA H MD BIRMINGHAM AL
02900325 1831551126 PATEL, MAULIKKUMAR G MD MOBILE AL
00280519 1174554463 PATEL, MUKESH R MD BIRMINGHAM AL
01935306 1124415336 PATEL, SHWETA N MD BIRMINGHAM AL
09908892 1508244070 PATIL, PALLAVI A MD MOBILE AL
01276711 1225686140 PATRICK, AMBER M CRNP BIRMINGHAM AL
01282362 1063731628 PATTEN, PATRICK P MD MOBILE AL
03231306 1275069759 PATTERSON, AMBER L CRNP BIRMINGHAM AL
06773592 1083645378 PATTERSON, MARK A MD BIRMINGHAM AL
03771046 1891778684 PATTERSON, SCOTT H MD MOBILE AL
08534255 1720027089 PATTON, RITA W MD BIRMINGHAM AL
09208202 1376898411 PAUL, ARUN G MD BIRMINGHAM AL
09636512 1871757856 PAVLIDAKEY, PETER G MD BIRMINGHAM AL
09376270 1902168552 PAYNE, ISAAC DO MOBILE AL
04677540 1316197718 PAYNE, LESLEY PA-C MOBILE AL
01209201 1043622558 PEACE, ASHLEY D PA MOBILE AL
08781306 1932308699 PEARCE, BENJAMIN J MD BIRMINGHAM AL
06703207 1265465660 PEARLMAN, ROBERT L MD BIRMINGHAM AL
02502801 1407352602 PECK, AERYN E CRNP BIRMINGHAM AL
06932291 1093376964 PEDDISETTY, DHAKSHITHA MD MOBILE AL
00010085 1992740153 PEEVY, KEITH J MD MOBILE AL
06752507 1366901928 PEGGINS, RAVEN S CRNP BIRMINGHAM AL
02704224 1073701769 PEGUERO ALEMANY, LARISSA A MD BIRMINGHAM AL
05377803 1255528287 PELEKANOS, SHARON F PA MOBILE AL
09873384 1588786784 PENARANDA CANAL, JUAN G MD MOBILE AL
07184344 1306860093 PENHERSKI, PIOTR C MD BIRMINGHAM AL
04589791 1295199180 PENICK III, JOHN R MD BIRMINGHAM AL
00121184 1558364158 PENNINGTON, MICHAEL A MD MOBILE AL
Jan 31, 2021 58 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02525851 1982780292 PEPPERS, JENNIFER L MD FLORENCE AL
00121017 1285686816 PERCY, ROBERT MD MOBILE AL
00853577 1255693149 PEREZ, WILLIAM M MD BIRMINGHAM AL
02975287 1720012305 PERKINS, DOREEN N CRNP BIRMINGHAM AL
00121801 1184663296 PERKINS, ROBERT A MD MOBILE AL
06973287 1841359221 PERRY, CANDACE MD DAPHNE AL
00304751 1518991132 PERRY, GILBERT J MD BIRMINGHAM AL
01471731 1437114402 PERRY, MARK D MD MOBILE AL
07600064 1538189543 PERSING, BRIAN E MD MOBILE AL
09287367 1437245420 PETERS, BRANDON M MD MOBILE AL
07535596 1639707425 PETERS, CATHERINE DO MOBILE AL
00122870 1568494144 PETERS, GLENN E MD BIRMINGHAM AL
04134338 1023005832 PETERS, MELISSA L MD BIRMINGHAM AL
00374040 1467897470 PETERS, TIMOTHY M MD BIRMINGHAM AL
01509271 1790149169 PETERSEN, MADISON P MD MOBILE AL
08586212 1316154636 PETERSON, TODD B MD BIRMINGHAM AL
03686843 1942664370 PETROSSIAN, ROBERT MD MOBILE AL
06375326 1841695954 PETTAWAY, JACQUELINE CRNP MOBILE AL
04521361 1841504693 PETTY, ASHLEY L CRNP BIRMINGHAM AL
08074748 1902198385 PETTY, MELODY L MD MOBILE AL
00277251 1205195195 PEYTON, CHARLES C MD BIRMINGHAM AL
09371120 1174971543 PFEIL, JEREMY D CRNP MOBILE AL
08205337 1093181166 PFLAUM, EMILIJA F PA MOBILE AL
08572201 1659614196 PFLEDERER, MATTHEW C MD BIRMINGHAM AL
00836001 1548791130 PFLEEGER, JENNA MD MOBILE AL
04230828 1356754956 PHILLIPS, BRANDON M MD BIRMINGHAM AL
09785063 1083974539 PHILLIPS, CARLTON B MD BIRMINGHAM AL
09153085 1831474501 PHILLIPS, CASSANDRA E CRNP BIRMINGHAM AL
Jan 31, 2021 59 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00112493 1124079603 PHILLIPS, GERRY M MD MOBILE AL
01400401 1619505468 PHILLIPS, JOHN G MD MOBILE AL
03981021 1972702561 PHILLIPS, STEPHEN A FLORENCE AL
06279741 1316052210 PHUNG, THUY L MD MOBILE AL
04055377 1609143684 PICKETT, LEAH R CRNP BIRMINGHAM AL
00628000 1861020208 PICKICH, MATTHEW DO MOBILE AL
03625020 1104212588 PIENNETTE, PAUL D MD BIRMINGHAM AL
01139017 1205868171 PIERCE, ALBERT T MD BIRMINGHAM AL
09757766 1508078577 PIERCE, JENNIFER Y MD MOBILE AL
08732751 1457554545 PIERCE, VIRGINIA S MD BIRMINGHAM AL
09132758 1871793562 PIERSON, JEFFREY S DO FOLEY AL
05477832 1356323596 PIGOTT, DAVID C MD BIRMINGHAM AL
03874014 1922004431 PINKSTON, JOHN A MD MOBILE AL
02123063 1285028969 PIPKIN, VALERIE CRNP MOBILE AL
05506796 1952355364 PITTET, JEAN-FRANCOIS BIRMINGHAM AL
08059200 1558642868 PITTS, LESLIE CRNP BIRMINGHAM AL
02527030 1023321411 PITTS, WILLIAM B MD MOBILE AL
05259291 1376962282 PLASH, WALKER MD MOBILE AL
01052805 1821299173 PLATT, TERRIE L CRNP MOBILE AL
00126797 1376578195 PLUMB, VANCE J MD BIRMINGHAM AL
00118748 1639177470 PLUSCHT III, PETER MD MOBILE AL
04730228 1700134418 POE, AMANDA W CRNP BIRMINGHAM AL
09780067 1730293093 POGWIZD, STEVEN M MD BIRMINGHAM AL
00118749 1487630950 POLLMAN, DANIEL J MD MOBILE AL
00122325 1760437727 POLSKI, JACEK M MD MOBILE AL
07284861 1063459592 PONNAMBALAM, ANANTHASEKAR MD MOBILE AL
07385351 1255720348 PONTIUS, ANGELA R CRNP BIRMINGHAM AL
03402817 1699777318 POOLE, CLAUDETTE L MD BIRMINGHAM AL
Jan 31, 2021 60 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01102219 1932467792 POOSARLA, TEJA MD MOBILE AL
01650385 1306338298 POPP, CHELSEA K CRNP BIRMINGHAM AL
09507364 1104074236 PORR, WILLIAM H MD MOBILE AL
01202799 1922234558 PORTER, KRISTIN K MD BIRMINGHAM AL
05106098 1811977986 PORTERFIELD, JOHN R MD BIRMINGHAM AL
04035798 1861968760 POWE, SHAWNTAVIA L CRNP BIRMINGHAM AL
01171091 1831150895 POWELL, CRAIG M MD BIRMINGHAM AL
05780542 1477757094 POWELL, DANIELLE K MD BIRMINGHAM AL
03150397 1568615961 POWELL, MARK F MD BIRMINGHAM AL
08889755 1144704875 POWELL, STACY CRNP MOBILE AL
00486084 1376557470 POWELL, SUSAN B MD BIRMINGHAM AL
08473523 1265417992 PRABHU, SUMANTH D MD BIRMINGHAM AL
02309749 1992140917 PRATER, GINNIE L MD BIRMINGHAM AL
07859523 1609080563 PRATTIPATI, VEERANJANEYULU MD BIRMINGHAM AL
08150326 1811131220 PRESTON, TAYLOR C MD BIRMINGHAM AL
06630303 1053350108 PREUDHOMME, DANIEL L MD MOBILE AL
06858049 1649714007 PRICE, SHANNON D CRNP BIRMINGHAM AL
03103566 1073766572 PRICE, STEPHANIE L CRNP BIRMINGHAM AL
08789787 1275809931 PRIDGEN, KATHLEEN H MD BIRMINGHAM AL
06473320 1437680600 PRINGLE, BLAIR H CRNP MOBILE AL
02037763 1619901253 PRITCHARD, PATRICK R MD BIRMINGHAM AL
06306856 1568894616 PRITCHETT, GINGER S CRNP BIRMINGHAM AL
07939531 1902867195 PRUETT, DANICA Q MD BIRMINGHAM AL
08625829 1316308919 PUGH, MARY KATHERINE R CRNP BIRMINGHAM AL
09321840 1134404734 QUATTLEBAUM, CHRISTEN DMD SEMMES AL
06675231 1083152987 QUICK, FELICIA Q CRNP MOBILE AL
04453851 1669567954 QUIN, ERNEST M MD MOBILE AL
07033761 1467610550 QUINLEY, NIKKI G MOBILE AL
Jan 31, 2021 61 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00011011 1205818697 QUINN, MICHAEL J MD MOBILE AL
02585257 1811121676 RADCLIFF, VIRGINIA S MD MOBILE AL
05528700 1700136728 RAHIMI, FARNOOSH MD MOBILE AL
06337019 1174175376 RAHMAN, MUSTAFEEZ UR MD MOBILE AL
01700898 1710115977 RAHMAN, SAADUR DO MOBILE AL
05257826 1114080017 RAINS JR, JAMES C MD BIRMINGHAM AL
08229234 1851660849 RAIS-BAHRAMI, SOROUSH MD BIRMINGHAM AL
04308854 1356764765 RAJARAM MANOHARAN, SAKTHIVEL RAJAN MD BIRMINGHAM AL
05751047 1336697457 RALEY, CLAIRE T CRNP BIRMINGHAM AL
07075225 1508253832 RALEY, LESLIE C CRNP BIRMINGHAM AL
08174891 1669034815 RAMAKRISHNAN, RAMYA MD MOBILE AL
09280811 1497834311 RAMANI, MANIMARAN MD BIRMINGHAM AL
08589325 1932487055 RAMASAMY, POOVITHA MD MOBILE AL
02275325 1265540561 RAMSEY JR, TIMOTHY T MD BIRMINGHAM AL
08637335 1487840229 RANA, AADIA I MD BIRMINGHAM AL
05179891 1497215834 RANKIN, NAKIA A CRNP MOBILE AL
05155755 1528455110 RAPER, JARON D MD BIRMINGHAM AL
09536557 1740561869 RASHID, SALMAN MD BIRMINGHAM AL
07607049 1316599228 RAWHANI, RAMEZ MD MOBILE AL
09028596 1467927848 RAY, JACOB CRNP BIRMINGHAM AL
05471206 1013545458 RAYA, RAFAEL MD MOBILE AL
03285525 1770518474 READ, RUSSELL W MD BIRMINGHAM AL
00124571 1740214253 REDDY, BALEED V MD BIRMINGHAM AL
04677313 1154524551 REDDY, NIPUN B MD BIRMINGHAM AL
03830359 1588815823 REDDY, SUSHANTH MD BIRMINGHAM AL
05554797 1891953816 REDELMAN, RYAN MD BIRMINGHAM AL
09409751 1164461422 REDWINE, MADISON B MD BIRMINGHAM AL
02650848 1285171363 REED, CHERIE E CRNP BIRMINGHAM AL
Jan 31, 2021 62 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09187826 1336760636 REED, CLAUDIA M CRNP MOBILE AL
04957391 1407856438 REGISTER, SHILPA J OD BIRMINGHAM AL
00126094 1821021528 REHDER, DIRK MD BIRMINGHAM AL
06523527 1992700199 REICH, CAROLINE A MD BIRMINGHAM AL
03632026 1437456050 REICH, SHAWNA M NP MOBILE AL
08836250 1710947684 REICHLE, JOHN L MD BIRMINGHAM AL
02377297 1073548657 REIFF, DONALD A MD BIRMINGHAM AL
03679792 1497045587 RELYEA ASHLEY, HEATHER M MD BIRMINGHAM AL
07770072 1669978623 RENO, AMANDA L DO MOBILE AL
00115915 1104807825 RENZ, JOHN T MD MOBILE AL
00015345 1861431587 RETTIG, KENNETH R MOBILE AL
08332509 1356396659 REVERE, CHERIE L CRNP MOBILE AL
09478535 1396999587 RHODES, LINDSAY A MD BIRMINGHAM AL
07588031 1144755448 RICE, ALYSSA C CRNP BIRMINGHAM AL
08324008 1316565674 RICH, JAMIE L CRNP MOBILE AL
00124023 1295708402 RICH, LEONARD S MD MOBILE AL
02580065 1558706986 RICHARDSON, JOHN T MD BIRMINGHAM AL
06478889 1952475980 RICHERSON, JASON M MD MOBILE AL
00851265 1083649727 RICHTER, HOLLY MD BIRMINGHAM AL
05187508 1003132259 RICHTER, ROBERT P MD BIRMINGHAM AL
07523246 1043454895 RIDDELL, THOMAS C MD MOBILE AL
06254831 1538329446 RIDER, PAUL F MD MOBILE AL
00024516 1376896662 RIDGEL, CASSANDRA W CRNP BIRMINGHAM AL
05323004 1265428270 RIFAI, AREF MD MOBILE AL
07436810 1831279702 RIHNER, MICHAEL A MD MOBILE AL
02304042 1386037034 RILEY, AMY N CRNP BIRMINGHAM AL
05433394 1598780777 RILEY, KRISTEN O MD BIRMINGHAM AL
00336558 1083630305 RINKER, JOHN R MD BIRMINGHAM AL
Jan 31, 2021 63 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07900312 1447700042 RITCHEY, ELIZABETH CRNP BIRMINGHAM AL
05536051 1851802508 RITCHIE, LISA B CRNP BIRMINGHAM AL
08329234 1518071364 RIVERS, TERRY N MD MOBILE AL
06239351 1356378335 RIZK, DANA V MD BIRMINGHAM AL
06639363 1205256047 ROANE, BRANDON M MD BIRMINGHAM AL
00117087 1346265535 ROBBIN, MICHELLE L MD BIRMINGHAM AL
03259360 1063823722 ROBBINS, LINDSAY S MD BIRMINGHAM AL
00124433 1194740373 ROBERSON, GLENN H MD BIRMINGHAM AL
00120269 1972558328 ROBERSON-TRAMMELL, KATRINA L MD MOBILE AL
01452895 1487760328 ROBERT VIZCARRONDO, FRANCISCO MD BIRMINGHAM AL
02922368 1982921748 ROBERTS, ERIC DO FOLEY AL
06522247 1245320340 ROBERTS, KEITH R MD DEMOPOLIS AL
07971862 1356514517 ROBERTS, MATTHEW W MD BIRMINGHAM AL
09850227 1508230210 ROBERTS, SHERRI F CRNP BIRMINGHAM AL
02870819 1053524686 ROBICHAUX, ROBERT P MD MOBILE AL
03209538 1831105840 ROBIN, NATHANIEL H MD BIRMINGHAM AL
00825576 1184756041 ROBINETT, DEREK A MD BIRMINGHAM AL
01505276 1902114101 ROBINSON, KATHRYN C CRNP BIRMINGHAM AL
03675806 1962907618 ROBINSON, STACI A FNP-C MOBILE AL
06826509 1265471452 ROBISON, BRADLEY K MD RUSSELLVILLE AL
02528823 1497713036 ROBLEDO, JULIAN MD CAHTOM AL
01770368 1104173186 ROCA GARCIA, MARIA M MD MOBILE AL
08359785 1730131210 ROCCONI, RODNEY P MD MOBILE AL
03406302 1043272644 ROCQUE, BRANDON G MD BIRMINGHAM AL
09350705 1598965972 ROCQUE, GABRIELLE MD BIRMINGHAM AL
05137248 1619234432 RODGERS, THERESA F NP BIRMINGHAM AL
03680276 1457563124 RODNING, KAI J MD MOBILE AL
00453705 1013977222 RODRIGUEZ, MARTIN MD BIRMINGHAM AL
Jan 31, 2021 64 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00120906 1023055340 RODRIGUEZ, REYNALDO DO MOBILE AL
00126999 1902826191 ROGERS, WILLIAM J MD BIRMINGHAM AL
00118750 1003870494 ROMERO, CESAR MD HAMILTON AL
00838590 1518377589 ROMINE, MARGARET M MD BIRMINGHAM AL
05557792 1245640218 ROMINE, MATTHEW W MD BIRMINGHAM AL
08985051 1952625907 ROSE, JOHN B MD BIRMINGHAM AL
03987344 1134386964 ROSE, MELANIE K MD MOBILE AL
01377034 1023038619 ROSENSTIEL, CAROL E OD BIRMINGHAM AL
05620386 1447364286 ROSENTHAL, RICHARD S MD BIRMINGHAM AL
00537831 1639625817 ROSNER, HILARY CRNP MOBILE AL
00113397 1922044601 ROSS, DAVID C MD MOBILE AL
05956297 1003444373 ROSSI, FREDERICK DO MOBILE AL
00116740 1891047056 ROTH, TRACY Y MD MOBILE AL
03856806 1851619761 ROUTMAN, JUSTIN MD BIRMINGHAM AL
08052367 1427410646 ROWE, DIANNA L CRNP BIRMINGHAM AL
07706335 1992720346 ROWE, STEVEN M MD BIRMINGHAM AL
07357878 1144252644 ROWE-NIX, TANYA D CRNP BIRMINGHAM AL
07125229 1568857993 ROWELL, FREDERICK W MD MOBILE AL
09873229 1962482927 ROWLAND, GAYLA MD FAIRHOPE AL
03153563 1356310916 ROZZELLE, CURTIS J MD BIRMINGHAM AL
06958773 1437286150 RUD, JOHN MD MOBILE AL
04157081 1417513995 RUDD, ALISON CRNP MOBILE AL
00626877 1306136692 RUDEMILLER, KYLE J MD BIRMINGHAM AL
00122994 1194740027 RUE III, LORING W MD BIRMINGHAM AL
04458321 1841678695 RUFFENACH, STEPHEN C MD BIRMINGHAM AL
09751843 1245780972 RUSANOV, VICTORIA MD BIRMINGHAM AL
03875859 1083971121 RUSS, KIRK B MD BIRMINGHAM AL
02832859 1477843415 RUSSELL, DEREK W MD BIRMINGHAM AL
Jan 31, 2021 65 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02875872 1477600328 RUSSELL, ROBERT T MD BIRMINGHAM AL
04434761 1447218920 RUSSELL, STEPHEN W MD MOODY AL
02477590 1518968817 RUSYNIAK, WALTER G MD MOBILE AL
02975750 1497718860 RUTHERFORD, JILL A MD BIRMINGHAM AL
05273265 1881973741 RYE-CROOK, DEBORAH B CRNP BIRMINGHAM AL
07986737 1699187039 SABO, SCOTT A MD BUTLER AL
00124702 1548285331 SADDEKNI, SOUHEIL MD BIRMINGHAM AL
02104061 1316144561 SADLER, JONATHAN R MD BIRMINGHAM AL
00111082 1093767477 SAHAWNEH, MAHER N MD MOBILE AL
07739330 1972765345 SAIGUSA, TAKAMITSU MD BIRMINGHAM AL
00119248 1669488292 SAKAWI, YASSER MD BIRMINGHAM AL
00016225 1366424103 SALEEB, SAMY F MD MOBILE AL
07888755 1487632048 SALEH, MANSOOR N MD BIRMINGHAM AL
00856739 1942394986 SALEHUDDIN, MOHAMMED MD RED BAY AL
03085557 1023372141 SALEI, ALIAKSEI MD BIRMINGHAM AL
09983266 1134631294 SALMON, CAROL R CRNP BIRMINGHAM AL
07189851 1225023054 SALSER JR, BILLY E MD BIRMINGHAM AL
05585711 1215918826 SALVADOR, CAROLINA MD BIRMINGHAM AL
04103265 1386664993 SALZMAN, DONNA E MD BIRMINGHAM AL
03987740 1275995177 SAMARA, WASIM A MD BIRMINGHAM AL
04839858 1326337916 SAMFORD, CRAIG S MD BIRMINGHAM AL
06782340 1487862348 SAMUELS, BRIAN C MD BIRMINGHAM AL
02372277 1710021266 SANCHEZ VILLANUEVA, OMAR A MD MOBILE AL
05874238 1275554636 SANDERS, MICHAEL K MD MOBILE AL
00125712 1639283476 SANDERS, PAUL W MD BIRMINGHAM AL
01470861 1548463532 SANDERS, RONALD D MD BIRMINGHAM AL
01330065 1003898164 SANFORD, JANYCE M MD BIRMINGHAM AL
01729811 1326514753 SANFORD, JESSICA D CRNP BIRMINGHAM AL
Jan 31, 2021 66 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09633892 1366754541 SANGHA, RAJBEER S MD BIRMINGHAM AL
02758319 1164050019 SANNING, SAMUEL DO MOBILE AL
00121585 1063478998 SANTIAGO, MARY R MD HAMILTON AL
07544008 1720023153 SAPP, MATHEW R MD BIRMINGHAM AL
05279770 1023490430 SARWAR, USMAN MD MOBILE AL
02928060 1740624394 SASSER, JENNIFER N CRNP BIRMINGHAM AL
02551500 1497382089 SATISH, PRIYANKA MD MOBILE AL
00115986 1255317707 SAUCIER, KEVIN S MD MOBILE AL
03524511 1780905034 SAVAGE, REBEKAH J MD BIRMINGHAM AL
03029296 1003349275 SAVILLE, SKYLAR G MD MOBILE AL
00076863 1992128359 SAWYER, EMILY C CRNP MOBILE AL
02051387 1952367120 SCALES, JOSEPH C MD BIRMINGHAM AL
03379812 1639325590 SCALICI, JENNIFER M MD MOBILE AL
05075793 1518901248 SCHAPHORST, KANE L MD MOBILE AL
06232557 1154689529 SCHMIT, ERINN MD BIRMINGHAM AL
04254553 1619397353 SCHMITT, JESSICA A MD BIRMINGHAM AL
00582357 1083053813 SCHNELL, AMANDA D MD BIRMINGHAM AL
08823766 1194758565 SCHRADING, WALTER A MD BIRMINGHAM AL
07952263 1700261955 SCHROERLUCKE, NICHOLAS M CRNP BIRMINGHAM AL
01823020 1336366350 SCHULLER, AARON MD CHATOM AL
02086212 1629031463 SCHWARTZ, MARTIN L MD BIRMINGHAM AL
04787314 1124040225 SCHWEBKE, JANE R MD BIRMINGHAM AL
08752298 1528161924 SCOTT SR, PAUL A MOBILE AL
09824830 1710990957 SCOTT, DANA D CRNP BIRMINGHAM AL
08671054 1336423011 SCOTT, SHANDA CRNP MOBILE AL
07182070 1144259862 SCROGGIE, DAREN A MD MOBILE AL
02484317 1215447750 SEAMAN, DEANNA W CRNP MOBILE AL
06209503 1306157904 SEAMAN, RACHEL T MD MOBILE AL
Jan 31, 2021 67 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06429303 1437588928 SEARS, JULIE M CRNP BIRMINGHAM AL
03683550 1750892519 SEARS, SABRINA M CRNP BIRMINGHAM AL
09470555 1730176553 SEDLIS, JAMES E M.D. BIRMINGHAM AL
07883850 1518983766 SEGHATOL-ESLAMI, FRANK F MD BIRMINGHAM AL
05872594 1932596913 SEHGAL, MUKUL MD MOBILE AL
00126896 1801872353 SEIBERT, ALLAN F MOBILE AL
05121509 1154543197 SELLERS, ALETHIA B MD BIRMINGHAM AL
08323769 1336383934 SELPH, JOHN P MD BIRMINGHAM AL
01153844 1801340484 SELTZER, MARJORIE L CRNP MOBILE AL
00117805 1790779486 SEMPLE, HENRY C MD MOBILE AL
09927336 1932166634 SENTELL, MELISSA L CRNP BIRMINGHAM AL
07030010 1992291603 SEWELL, REBECCA C CRNP TUSCALOOSA AL
02875285 1831246701 SHADINGER, LIBBY L MD BIRMINGHAM AL
02454517 1972832467 SHAH, ASHISH B MD BIRMINGHAM AL
08221384 1689802860 SHAH, BRANDI M MD BIRMINGHAM AL
09835213 1871883900 SHAH, RUCHIT R MD BIRMINGHAM AL
03655567 1316988488 SHAH, SAROJ M MD MOBILE AL
09002392 1336757350 SHAIK, SABEEHA N MD MOBILE AL
01185299 1457305484 SHALEV, ANATH MD BIRMINGHAM AL
01733055 1558398172 SHAPSHAK, ANGELA H MD BIRMINGHAM AL
09954271 1851322713 SHAPSHAK, DAG MD BIRMINGHAM AL
02774065 1114333671 SHARBIDRE, KEDAR G MD BIRMINGHAM AL
07209507 1336791789 SHARMA, GAURAV MD MOBILE AL
05307786 1295084291 SHARMA, KAMAL P MD MOBILE AL
04128097 1588976112 SHARMA, MEENU MD BIRMINGHAM AL
05302313 1144269895 SHARP, STEVEN M MD BUTLER AL
00038274 1134540313 SHARP, WHITNEY H CRNP BIRMINGHAM AL
04273593 1407800378 SHAVER, CHRISTOPHER P MD BIRMINGHAM AL
Jan 31, 2021 68 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08155241 1891724514 SHAVER, LAURA A MD MOBILE AL
00114799 1336120419 SHAW, DAVID M MD MOBILE AL
04358210 1639575350 SHAW, JANICE R CRNP ALEXANDER CITY AL
00125125 1003861766 SHEETS, CINDY S MD MOBILE AL
09131795 1386296572 SHEIKH, AMEERA E MD MOBILE AL
05339380 1124377858 SHEIKH, SAULAT S MD BIRMINGHAM AL
08024590 1912187360 SHEILS, STEVEN G MD BIRMINGHAM AL
07455058 1285726612 SHELTON, RICHARD C MD BIRMINGHAM AL
01885318 1528548898 SHEPPARD, ERIN C CRNP MOBILE AL
07205394 1578653010 SHEPPARD, JOHN D MD TUSCALOOSA AL
09589805 1063450252 SHERMAN, CRAIG D MOBILE AL
00029559 1982015954 SHERRILL, CAMERON S MD TUSCALOOSA AL
04787732 1164442208 SHERRILL, JOSEPH M MD BIRMINGHAM AL
03075897 1669764072 SHI, MINGXIA MD MOBILE AL
04078534 1245351162 SHORT III, ROLAND T MD BIRMINGHAM AL
09006337 1003420456 SHUMAKER, ROBIN H PA MOBILE AL
05131514 1508829623 SIEGAL, STUART L MD BIRMINGHAM AL
08073562 1780636159 SIEGEL, HERRICK J MD BIRMINGHAM AL
00019514 1053350710 SILVER, FREDERICK M MD MOBILE AL
07033096 1528446499 SILVERMAN, SHARON NP FOLEY AL
04929543 1144287038 SIMMONS, JEFFREY W MD BIRMINGHAM AL
08988788 1376715755 SIMMONS, JON D MD MOBILE AL
02830570 1861657132 SIMMONS, STEPHANIE D MD ANNISTON AL
01457276 1013940998 SIMPSON JR, STEPHEN T MD MOBILE AL
03102231 1275077398 SIMPSON, HEATHER S CRNP BIRMINGHAM AL
03120221 1134323538 SIMPSON, REGENA A CFNP MOBILE AL
00125680 1134101975 SIMS, RONNIE O MD FOLEY AL
00115983 1760464044 SINDEL, LAWRENCE J MD MOBILE AL
Jan 31, 2021 69 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02525070 1780692871 SINGH, JASVINDER MD BIRMINGHAM AL
00125173 1619984861 SINGH, SATINDER P MD BIRMINGHAM AL
01781514 1881850097 SINGH, SUMIT MD BIRMINGHAM AL
09753705 1467894808 SINGH, VINODKUMAR MD BIRMINGHAM AL
04276548 1447481791 SINGHAL, APARNA MD BIRMINGHAM AL
08108501 1710482138 SINGHAPAKDI, KANYA DO MOBILE AL
03426861 1174549851 SINGLETON, JOSEPH L MD FAYETTE AL
09022769 1194018952 SINKEY, RACHEL G MD BIRMINGHAM AL
09073710 1891792420 SIPE, SANDRA S MD BIRMINGHAM AL
05387851 1467638460 SIRINENI, GOPI MD BIRMINGHAM AL
01260132 1356571400 SIVANANDAM, HARI MD MOBILE AL
05704871 1982045308 SIVARAMAN, SOUMYA MD BIRMINGHAM AL
08673870 1841679636 SIVILS, COREY W MD BIRMINGHAM AL
06706850 1194130476 SIWAKOTI, KRISHMITA MD BIRMINGHAM AL
09670761 1063876431 SKAINS, RACHEL M MD BIRMINGHAM AL
03939559 1629412564 SKELTON, TAMMI L CRNP BIRMINGHAM AL
00922725 1871918896 SKIFIC, KAREN CRNP MOBILE AL
05624027 1902383383 SKIPPER, CAITLIN CRNP MOBILE AL
08257826 1942659495 SKOOG, EMILY M MD BIRMINGHAM AL
03300071 1477526606 SLADE, LINDA E OD MOBILE AL
04532852 1275694374 SLEETH, DAVID T MD FAYETTE AL
09984735 1487978813 SMALL, SARAH M OD MOBILE AL
05031598 1932123080 SMITH, ALVIN B MD BIRMINGHAM AL
07188054 1821387069 SMITH, AMANDA R CRNP NORTHPORT AL
08850801 1356301972 SMITH, ANDREW D MD BIRMINGHAM AL
03153749 1588002679 SMITH, CAMIE K NP TUSCALOOSA AL
06253326 1629028782 SMITH, CHRISTOPHER L DO FAYETTE AL
05333865 1427464080 SMITH, CRYSTAL L CRNP BIRMINGHAM AL
Jan 31, 2021 70 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02628395 1467913087 SMITH, EMILY M MD MOBILE AL
01271393 1033138490 SMITH, JOHN A MD BIRMINGHAM AL
06031513 1851696025 SMITH, KATRINA H CRNP BIRMINGHAM AL
02104026 1396212239 SMITH, MADELYN J CRNP BIRMINGHAM AL
03250377 1518409168 SMITH, MARILYN R CRNP BIRMINGHAM AL
03057521 1639720600 SMITH, MICHAEL A PA MOBILE AL
00900873 1306829155 SMITH, MICHAEL D MD BIRMINGHAM AL
06729801 1811313968 SMITH, PAMELA V CRNP BIRMINGHAM AL
00125487 1427077809 SMITH, PERRY W MD BIRMINGHAM AL
02558799 1235158114 SMITH, PHILLIP D MD BIRMINGHAM AL
03685512 1588969034 SMITH, TIMOTHY A NP BIRMINGHAM AL
02522018 1306356357 SMITH, WESLEY B PA FOLEY AL
03174787 1235429630 SMOLA, CASSANDRA N MD BIRMINGHAM AL
00489001 1194145441 SMOLA, ROBERT L MD BIRMINGHAM AL
09974278 1124000344 SNOW, RUTH D MD BIRMINGHAM AL
03054817 1427531151 SOCKWELL, ELIZABETH D CRNP BIRMINGHAM AL
05339273 1679760623 SOGOROVIC, SUZANA MD MOBILE AL
03484501 1912326695 SOIKE, MICHAEL MD BIRMINGHAM AL
01609579 1407241136 SOLLIE, REBECCA S MD MOBILE AL
06889541 1669762621 SONG, WEIFENG MD BIRMINGHAM AL
04220065 1386089001 SONNIER, WILLIAM P MD MOBILE AL
09724371 1427002906 SOONG, AMANDA MD BIRMINGHAM AL
01677341 1376867093 SORABELLA, ROBERT A MD BIRMINGHAM AL
02878002 1669728887 SOTOUDEH, HOUMAN MD BIRMINGHAM AL
04879013 1740817816 SOUID, ANAS MD MOBILE AL
01187515 1235114976 SPALDING, DAVID M MD BIRMINGHAM AL
05200378 1114243003 SPANGLER, EMILY L MD BIRMINGHAM AL
06320058 1437550175 SPARKS, JESSICA R CRNP BIRMINGHAM AL
Jan 31, 2021 71 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04851547 1619429081 SPARKS, KANSAS CRNP BIRMINGHAM AL
09331000 1417993908 SPEAKMAN, PRESTON T MD MOBILE AL
08207792 1619400090 SPENCER, CHAD MOBILE AL
00015472 1821017120 SPENCER, SHARON A MD BIRMINGHAM AL
04502766 1699794073 SPENNEY, JERRY G MD BIRMINGHAM AL
01500549 1356518617 SPITLER, CLAY A MD BIRMINGHAM AL
00123393 1467417063 SPLIT, ELISE S NP MOBILE AL
02087274 1013370832 ST. JOHN, JEFFREY G MD MOBILE AL
07925766 1841219748 STAFFORD, MARK A MD BIRMINGHAM AL
06752091 1376988956 STAHL, JOHN M MD BIRMINGHAM AL
00857701 1275644510 STANDLEY, TODD B MD MOBILE AL
05101727 1659464626 STANER, THOMAS A MD BIRMINGHAM AL
01179849 1407866189 STANHOPE, TIMOTHY J CRNP BIRMINGHAM AL
00382773 1295772986 STANMORE, ROGER D MD CARROLLTON AL
01002846 1437191178 STARLING JR, STEPHEN W MD BIRMINGHAM AL
09875390 1962421354 STEENWYK, BRAD L MD BIRMINGHAM AL
08708568 1790128346 STEFANESCU, CARLA C MD BIRMINGHAM AL
00124997 1265486708 STEFFLER, BRAD A MD MOBILE AL
01332752 1427348671 STEINHILBER, STARR S MD BIRMINGHAM AL
04872267 1114020377 STEPHENS III, SELDEN H MD MOBILE AL
05224859 1467733584 STEPHENS, DOUGLAS J CRNP BIRMINGHAM AL
00275327 1710314208 STEPHENS, LAURA I CRNP BIRMINGHAM AL
00115810 1376633636 STERNBERG, MICHAEL L MD MOBILE AL
02632037 1952352361 STEVENS, DONNA P CRNP BIRMINGHAM AL
09300337 1114180304 STEVENS, TODD M MD BIRMINGHAM AL
07220701 1043467012 STEVENS, WAYNE B OD RED BAY AL
04275221 1316357270 STEVENSON, ZACHARY L MD MOBILE AL
01526714 1629301692 STEWART, REGINA A CRNP MOBILE AL
Jan 31, 2021 72 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05836822 1568403855 STINEBAUGH JR, JAMES R MOBILE AL
09530821 1932674975 STOKES, JUSTIN B CRNP MOBILE AL
07720719 1538572847 STOKES, TIMOTHY B MD MOBILE AL
08004515 1538241013 STOLL, MATTHEW L MD BIRMINGHAM AL
06729559 1790135937 STONE, MANDY D FNP HAMILTON AL
07756807 1427316892 STOOPS, CHRISTINE N DO BIRMINGHAM AL
07950350 1962860262 STOTLER, PHILLIP M CRNP BIRMINGHAM AL
04037732 1154341667 STOVER, NATIVIDAD P MD BIRMINGHAM AL
08826714 1215327473 STREUFERT, AARON M CRNP BIRMINGHAM AL
04574228 1275934952 STREUFERT, TYESHIA B CRNP BIRMINGHAM AL
06403394 1386159796 STRIDER, REBECCA A CRNP BIRMINGHAM AL
04682091 1467629006 STRINGER-REASOR, ERICA M MD BIRMINGHAM AL
07226092 1215564448 STRINGFELLOW, SARA MD MOBILE AL
00107505 1558507871 STRIPLING, JOSHUA T MD BIRMINGHAM AL
01650088 1164050084 STROBEL, THOMAS MD MOBILE AL
04883747 1104345263 STUCK, NATHANAEL C PA-C MOBILE AL
04402552 1710080734 SUBLETT, KEVIN L MD ALEXANDER CITY AL
00738820 1932202728 SUBLETT, SANDY O CRNP ALEXANDER CITY AL
03950532 1639330905 SUBRAMANIAM, AKILA MD BIRMINGHAM AL
01078596 1851929517 SUCAR-MARQUEZ, JORGE MD MOBILE AL
09188852 1871765552 SUGANDHA, SHAJANPETER A MD BIRMINGHAM AL
09570031 1982656773 SUGG, REBECCA L MD MOBILE AL
01686746 1326543596 SUGGS, MATTHEW J DO MOBILE AL
06821727 1275596926 SULLIVAN III, EDWARD A MD BIRMINGHAM AL
08157368 1619473527 SULLIVAN, ALLISON P DO MOBILE AL
04120095 1023534831 SULLIVAN, CAROLINE F CRNP BIRMINGHAM AL
00118688 1003804352 SULLIVAN, MANLY MD CARROLLTON AL
00826521 1174968739 SUMMERLIN, THANH L MD BIRMINGHAM AL
Jan 31, 2021 73 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01726501 1871121723 SUMMERS, TIMOTHY MD MOBILE AL
00287022 1225126154 SUMRALL, BRIAN H MOBILE AL
07431767 1407466600 SURTI, ABDUL KADER S MD MOBILE AL
08924856 1851374607 SUTHERLAND, DOUGLAS S MD GARDENDALE AL
01132542 1437383122 SUTLIVE, BENJAMIN J MD BIRMINGHAM AL
08228347 1306247317 SUTTLE, REBECCA D CRNP BIRMINGHAM AL
05480777 1104058213 SWAIN, FREDDIE MD GARDENDALE AL
04388894 1982797643 SWANN, DAWN M CRNP BIRMINGHAM AL
09628803 1679593719 SWANNER, JASON C MD BIRMINGHAM AL
05201794 1407172661 SWANSON, ERIN M MD BIRMINGHAM AL
08708858 1841654563 SWANSON, JONATHAN MD BIRMINGHAM AL
09287706 1558348219 SWETZ, KEITH M MD BIRMINGHAM AL
00120681 1750339297 SYED, ASHRAF A NORTHPORT AL
05088771 1659909927 SYED, SIDRAH MD MOBILE AL
09903211 1245417013 SYMONS, NADINE MD MOBILE AL
06407786 1336408053 TALERICO, CHRISTINA M MD MOBILE AL
05852049 1790705978 TALLAJ, JOSE A M.D. BIRMINGHAM AL
04758875 1093343352 TALLAVAJHALA, VINAYKUMAR MD MOBILE AL
08477826 1568484913 TANNER, BRANDY T CRNP BIRMINGHAM AL
00774238 1902124217 TANNER, LAUREN C MD BIRMINGHAM AL
01225215 1083241087 TANTIVIT, NESSA MD MOBILE AL
00851319 1164471546 TARAKJI, HOSSAM MD RED BAY AL
00115559 1902887615 TART, ROGER P MD MOBILE AL
05586894 1437689478 TAVAKOLI DASTJERDI, MEHDI MD BIRMINGHAM AL
00113427 1568491017 TAYLOR JR, SAMUEL W MD TUSCALOOSA AL
01680379 1932141041 TAYLOR, BENJAMIN B MD BIRMINGHAM AL
04359364 1821200593 TAYLOR, JEFFERSON B MD BIRMINGHAM AL
09772847 1316334865 TAYLOR, LAURA M CRNP MOBILE AL
Jan 31, 2021 74 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00126224 1063483360 TAYLOR, MICHAEL A MD BIRMINGHAM AL
01609071 1609403831 TEDDER, EARL C MD MOBILE AL
05423069 1154648210 TENGSUPAKUL, SUPATIDA MD MOBILE AL
05422747 1184809659 TERRELL, KENYETTA R MD BIRMINGHAM AL
00118340 1154316321 TERRY, ANDREW P MD MOBILE AL
08404551 1962862854 TESAURO, ROBYN CRNP BIRMINGHAM AL
00125727 1801816038 TESSLER, FRANKLIN N MD BIRMINGHAM AL
01989789 1467682344 THADURI, SUDHIR R MD BIRMINGHAM AL
09635514 1477998532 THAKUR, JAI D MD MOBILE AL
00122871 1922050715 THEISS, STEVEN M MD BIRMINGHAM AL
07037536 1528617750 THEODORE, JAMIE C CRNP BIRMINGHAM AL
01685809 1417069535 THIELE, MARGARET A MD BIRMINGHAM AL
04007057 1942234414 THOM, MATTHEW R MD TUSCALOOSA AL
00126416 1477596419 THOMAS JR, JAMES DO THOMASVILLE AL
05130065 1194786830 THOMAS, CARLA MD RUSSELLVILLE AL
09503319 1790871796 THOMAS, JOHN V MD BIRMINGHAM AL
09732096 1588628275 THOMAS, ROBERT H MD BIRMINGHAM AL
00701399 1518315365 THOMASON, KAYLA L OD BIRMINGHAM AL
08929853 1437424736 THOMPSON, AMY K CRNP BIRMINGHAM AL
04107086 1962781518 THOMPSON, KIMBERLY A NP MOBILE AL
00785076 1639132277 THOMPSON, LINDA B MD BIRMINGHAM AL
02178563 1548689862 THOMPSON, MAXWELL A MD BIRMINGHAM AL
03802242 1033105283 THOMPSON, TIMOTHY J OD BIRMINGHAM AL
04276373 1821008764 THORNLEY BROWN, DENYSE P MD BIRMINGHAM AL
00122943 1821052424 THORNTON, DAVID D MD BIRMINGHAM AL
06270705 1851929806 THORNTON, LOREE MD MOBILE AL
08132814 1588870224 THORNTON, STANLEY N MD MOBILE AL
06658027 1013273523 THRASHER, MICHELLE CRNP MOBILE AL
Jan 31, 2021 75 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01023528 1306364310 THRELKELD, MELISSA A CRNP BIRMINGHAM AL
09889842 1164825923 TICE, JOHNNY R FNP TUSCALOOSA AL
03573859 1790197937 TIDWELL, BETHANY M CRNP BIRMINGHAM AL
03537880 1316300080 TILLOTSON, ERIC MD HAMILTON AL
07656250 1427553841 TODD, ASHTON W MD MOBILE AL
01786753 1003347691 TODD, JONATHAN H MD MOBILE AL
00570257 1073533824 TOLWANI, ASHITA J MD BIRMINGHAM AL
00200707 1831543933 TOMENY, PATRICK E MD FAYETTE AL
05235532 1134446206 TOMLINSON, BARBARA D CRNP BIRMINGHAM AL
03602096 1659376911 TORGERSON, CHARLES L MD BIRMINGHAM AL
00003223 1225501836 TORIS, AMANDA CRNP MOBILE AL
02208083 1639324825 TOWNS, GRAHAM C MD BIRMINGHAM AL
05158788 1447613468 TRAMMELL, RANDALL H DO MOBILE AL
08600283 1114555752 TRAN, MICHAEL MD MOBILE AL
05633381 1124531447 TRAN, NGOC T CRNP BIRMINGHAM AL
09486395 1649731274 TRAN, VI T MD MOBILE AL
09156260 1053353797 TRANKINA, MARK F MD BIRMINGHAM AL
07579727 1336551613 TRAVERS, COLM P M.D. BIRMINGHAM AL
00118475 1952386641 TRAVIS, PHILIP S MD MOBILE AL
02932569 1730636978 TREHERN, BRANDI A CRNP MOBILE AL
03630822 1992332977 TRENT, JESSE MD MOBILE AL
02207891 1417112871 TREVOR, JENNIFER L MD BIRMINGHAM AL
00533201 1265993364 TRICE, CELESTE S DO MOBILE AL
00018880 1508806597 TRICE, DAVID T MD MOBILE AL
02401713 1972619385 TRIDANDAPANI, SRINI MD BIRMINGHAM AL
00903099 1952682346 TRIEU, CONNIE A MD BIRMINGHAM AL
00012509 1912953019 TRIMM, R F MD MOBILE AL
08026763 1083669006 TRIMMIER, MARIROSE C MD MOBILE AL
Jan 31, 2021 76 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08626592 1588952493 TRIPATHY, PURNIMA MD MOBILE AL
06489899 1215565098 TROSCLAIR, LEXUS MD MOBILE AL
05583096 1558405902 TROTTER, JOHN M MD MOBILE AL
08626502 1558584540 TROXLER, ROBERT B MD BIRMINGHAM AL
00125744 1518973783 TRUSS, CHRISTOPHER D MD BIRMINGHAM AL
00111519 1942313861 TU, JIMMY S MD NORTHPORT AL
05387346 1952736084 TUANAMA, ERIN NP BIRMINGHAM AL
06253037 1437593332 TUBINIS, MICHELLE D MD BIRMINGHAM AL
05753502 1124237003 TUCK, BENJAMIN C MD BIRMINGHAM AL
00105840 1487637427 TUCKER, GREGORY S MD GARDENDALE AL
01328092 1265081012 TUCKER, KACY R CRNP BIRMINGHAM AL
06154753 1134488521 TULOWITZKI, RYAN C DO MOBILE AL
00019553 1992715080 TURBAT-HERRERA, ELBA A MD MOBILE AL
02406866 1053558429 TURNER, CARLA Y CRNP BIRMINGHAM AL
03629879 1598797706 TURNER, CURTIS W MD MOBILE AL
05422030 1649450974 TURNER, HOLLEY M NP NORTHPORT AL
08327879 1427376649 TURNER, KENNETH B MD BIRMINGHAM AL
08954518 1841533262 TURNER, ORLANDO D MD BIRMINGHAM AL
03454291 1447217286 TURNER, SCOTT B DNP BIRMINGHAM AL
04050004 1376563494 TURNLEY, MICHELLE J MD BIRMINGHAM AL
07639500 1205883154 TYLER, SHANNON K MD MOBILE AL
04579261 1245673094 TYNER, THOMAS M MD GARDENDALE AL
06934264 1114010121 TYON, WARREN G MOBILE AL
04358875 1316482631 TYRRELL, JULIE Z CRNP BIRMINGHAM AL
01105841 1912918319 UBOGU, EROBOGHENE E MD BIRMINGHAM AL
00124650 1295745149 URTHALER, FERDINAND MD BIRMINGHAM AL
00121753 1982657755 UZEL, CONNIE D MD MOBILE AL
05851051 1982968764 VACHHANI, PANKIT J MD BIRMINGHAM AL
Jan 31, 2021 77 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116909 1821093188 VAID, YOGINDER N MD BIRMINGHAM AL
03078796 1396865374 VALENCIA VELEZ, MARIA D MD BIRMINGHAM AL
02654700 1205374386 VAN NOSTRAND, ERIC J CRNP BIRMINGHAM AL
02482293 1891816690 VAN WAGONER, NICHOLAS J MD BIRMINGHAM AL
00324573 1144350349 VANDER NOOT, ROSS M MD BIRMINGHAM AL
00121697 1447290630 VANDEWAA, JOHN A DO MOBILE AL
01530701 1467918789 VANSANDT, STEPHANIE L CRNP BIRMINGHAM AL
02688294 1316953847 VAPHIADES, MICHAEL S DO BIRMINGHAM AL
03109548 1801181649 VARDAS, PANAYOTIS MD BIRMINGHAM AL
09935575 1417903113 VARDEN, KEVIN K MD MOBILE AL
00000827 1891275236 VARLEY, AMANDA K CRNP BIRMINGHAM AL
00116712 1336234467 VARMA, JYOTSNA MD MOBILE AL
08482760 1053551333 VARMA, RAKESH K MD BIRMINGHAM AL
00124772 1306883624 VARNER, STEPHEN T MD MOBILE AL
00289877 1538489562 VAUGHAN, TODD B MD LIVINGSTON AL
08177752 1396949020 VAUGHN, CRISTI N MD TUSCALOOSA AL
09550904 1699111898 VAZQUEZ DO CAMPO, ROCIO MD BIRMINGHAM AL
06933501 1093700569 VICK, VALERIE L MD MOBILE AL
00085315 1215964754 VICKERS, SELWYN M MD BIRMINGHAM AL
04128351 1922497759 VICKERY, MARLENE K FNP HAMILTON AL
09050579 1487664454 VIDAL, JORGE A MD BIRMINGHAM AL
00125518 1578503751 VIDAL, ROSA A MD MOBILE AL
04104345 1023442746 VILES, SHARA M CRNP BIRMINGHAM AL
00115147 1538179494 VINCENT JR, ROBERT D MD MOBILE AL
03227250 1477819738 VINES, BRANNON L MD BIRMINGHAM AL
09109791 1477181931 VINES, KATIE MD MOBILE AL
07873351 1962669069 VINIKOOR, MICHAEL J MD BIRMINGHAM AL
03624216 1548493182 VIRDI, RAVI P MD BIRMINGHAM AL
Jan 31, 2021 78 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05803049 1548510571 VO, TRINH T OD MOBILE AL
05204559 1730193335 VON MERING, GREGORY MD BIRMINGHAM AL
03924264 1255627345 VON SCHWEINITZ, BENJAMIN A MD BIRMINGHAM AL
00526710 1497118566 VORENKAMP, ASHLEY E MD BIRMINGHAM AL
03535592 1013303932 VU, JULIA MD THOMASVILLE AL
03658253 1932403920 WADE, LENORA A CRNP BIRMINGHAM AL
00202842 1104121508 WADE, MELISSA H CRNP BIRMINGHAM AL
02903329 1356584189 WAGENER, BRANT M MD BIRMINGHAM AL
00124883 1295710564 WAGNON JR, DONALD W MOBILE AL
02225291 1316913965 WAGUESPACK, RICHARD W MD BIRMINGHAM AL
00124628 1679595771 WAKEFIELD, MARSHA L MD BIRMINGHAM AL
04956765 1649628272 WALDEN, KELSI M CRNP BIRMINGHAM AL
04027528 1598004822 WALDROP, LAUREL C MSN BIRMINGHAM AL
06884549 1376656892 WALDROP, RONNIE MD MOBILE AL
08627810 1528055993 WALKER, ERIC P PA BIRMINGHAM AL
00753890 1740207349 WALKER, GENE E MD TUSCALOOSA AL
07203819 1003811845 WALKER, JAMES C MD BIRMINGHAM AL
01925885 1053447268 WALL, MARK MD MOBILE AL
02173206 1497037899 WALLACE, CARTER D MD BIRMINGHAM AL
08708253 1285098806 WALLACE, DOUGLAS W MD BIRMINGHAM AL
05206393 1871706960 WALLACE, ERIC L MD BIRMINGHAM AL
07808251 1376922948 WALLACE, MICHAEL MD MOBILE AL
00013607 1922044502 WALLACE, PERRY MD TUSCALOOSA AL
01338323 1407113533 WALSH, ERIKA M MD BIRMINGHAM AL
05131806 1952515942 WALTER, JONATHAN W MD BIRMINGHAM AL
01455376 1295949428 WALTER, LAUREN A MD BIRMINGHAM AL
02033841 1467563486 WANG, THOMAS N MD BIRMINGHAM AL
06556232 1528422268 WANN, ROBERT C MD BIRMINGHAM AL
Jan 31, 2021 79 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00328853 1780114231 WANNER, LISA NP HAMILTON AL
09333316 1780067298 WARD, AYOFEMI L CRNP BIRMINGHAM AL
00477063 1568428902 WARE, OLIVER B MD BIRMINGHAM AL
01737865 1205378551 WARREN, JOSH M CRNP BIRMINGHAM AL
02827341 1982817508 WARRINER, AMY H MD BIRMINGHAM AL
04101863 1982096145 WASHINGTON, KIARA W CRNP BIRMINGHAM AL
07050717 1902071368 WASHKO, JULIE MD BIRMINGHAM AL
01872795 1104878883 WATTS JR, JUBAL MD GARDENDALE AL
09805318 1457497851 WEAR, SHANE A MD BIRMINGHAM AL
07080377 1598779761 WEAVER, CASEY T MD BIRMINGHAM AL
08724049 1447243555 WEAVER, JOSEPH W MD MOBILE AL
01055017 1740670280 WEAVER, KACI B CRNP BIRMINGHAM AL
00027272 1689804759 WEAVER, KATRINA L MD MOBILE AL
02706275 1396297883 WEAVER, MARGARET G CRNP BIRMINGHAM AL
04279283 1609161843 WEAVER, TONY L DO BUTLER AL
00120643 1588637649 WEAVER, YAFFA K MD MOBILE AL
02431314 1356705990 WEBB, ALICIA C MD BIRMINGHAM AL
02350360 1508138249 WEBB, TENNILLE N MD BIRMINGHAM AL
04252855 1306848023 WEBER, FREDERICK H MD BIRMINGHAM AL
04784576 1164453957 WEBSTER, JACOB MD MOBILE AL
05323292 1013154962 WEI, BENJAMIN MD BIRMINGHAM AL
07475203 1730399924 WEI, SHI MD BIRMINGHAM AL
01385895 1679100747 WEIDOW, DAVIS DO MOBILE AL
03678007 1255698304 WEIL, REBEKAH A MD BIRMINGHAM AL
03125265 1063444644 WEISENFELD, SHELLY R MD GARDENDALE AL
03539721 1306302948 WELCH, KELSEY S NP MOBILE AL
02178788 1346453446 WELLS, JAMES M MD BIRMINGHAM AL
05535871 1437102795 WELLS, ROSE A CRNP MOBILE AL
Jan 31, 2021 80 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01205209 1982194718 WENG, FRANK MD MOBILE AL
03456205 1912980954 WESTER, DOUGLAS J MD GARDENDALE AL
09530705 1285674150 WESTERMAN, JAN H MD FLORENCE AL
09087020 1629286174 WETTA, LUISA A MD BIRMINGHAM AL
05057015 1457560823 WHATLEY, JAMES B MD BIRMINGHAM AL
01809545 1508818675 WHETSTONE, NOAH B MD MOBILE AL
00582366 1619070018 WHITE JR, CHARLES F MOBILE AL
00626735 1699317941 WHITE, HALEY D CRNP BIRMINGHAM AL
00004389 1912369109 WHITE, JULIA M MD BIRMINGHAM AL
00476858 1366430142 WHITE, MARJORIE L MD BIRMINGHAM AL
07100265 1780684977 WHITE, STANLEY D PA MOBILE AL
08006870 1437125275 WHITE, STEVEN D MD FLORENCE AL
04677861 1487602280 WHITE, TIMOTHY B OD MOBILE AL
00113590 1336189745 WHITEHURST, RICHARD M MD MOBILE AL
03978212 1316381825 WHITMAN, HOLLY D CRNP BIRMINGHAM AL
09039214 1982984431 WHITSON, MICAH R MD BIRMINGHAM AL
07182061 1346661410 WIGGINS, ASHLEY W CRNP MOBILE AL
05570028 1912396938 WILBANKS, ASHTON FNP HAMILTON AL
00126475 1457337081 WILBER, STEPHEN P MD MOBILE AL
01151236 1740297027 WILCOX, CHARLES M MD BIRMINGHAM AL
09008012 1386615961 WILDER III, JAMES D OD FAIRHOPE AL
03239569 1336588086 WILEY, JESSICA M CRNP BIRMINGHAM AL
00388845 1407218852 WILHITE, ANNELISE M MD MOBILE AL
04136330 1396003661 WILKIN, ALLISON G MD BIRMINGHAM AL
07628803 1497779599 WILLETT, LISA L MD BIRMINGHAM AL
05624865 1871850859 WILLIAMS, AMANDA CRNP MOBILE AL
09089364 1205178555 WILLIAMS, AUDRA R MD BIRMINGHAM AL
08708276 1316181241 WILLIAMS, GRANT R MD BIRMINGHAM AL
Jan 31, 2021 81 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01804075 1427292747 WILLIAMS, HENNESSY H MD MOODY AL
07186553 1003122318 WILLIAMS, JENNIFER G CRNP MOBILE AL
04054050 1114346210 WILLIAMS, KARLA E MD BIRMINGHAM AL
09126513 1710111687 WILLIAMS, WINTER L MD BIRMINGHAM AL
09134551 1386768968 WILLIG, JAMES H MD BIRMINGHAM AL
03882821 1336614783 WILLIS, MERCEDEES L CRNP BIRMINGHAM AL
04872721 1154788453 WILSON, ANNA C CRNP BIRMINGHAM AL
00111185 1114966694 WILSON, FELICIA M MD MOBILE AL
04851388 1861491367 WILSON, GEORGE B MD GARDENDALE AL
02152251 1174977797 WILSON, HEATHER L CRNP BIRMINGHAM AL
02573741 1770984890 WILSON, JOAN M CRNP BIRMINGHAM AL
00115560 1134100589 WILSON, RICHARD C MD MOBILE AL
08628362 1215283775 WILSON, SHENELLE N MD BIRMINGHAM AL
04372584 1902856735 WILSON, TRACEY S MD BIRMINGHAM AL
03603884 1881089464 WILTSHIRE, ASHLEY M MD BIRMINGHAM AL
09038349 1790708162 WINDHAM III, SAMUEL T MD BIRMINGHAM AL
02177552 1750383303 WINFIELD, HOWARD N MD TUSCALOOSA AL
05538515 1669434395 WINKLER, CAREY MD MOBILE AL
05253357 1730162751 WINKLER, JON P MD BIRMINGHAM AL
00125355 1023031408 WINOKUR, THOMAS S MD BIRMINGHAM AL
06300318 1235498049 WINTER, GRETCHEN R MD BIRMINGHAM AL
09881854 1457301582 WINTER, LINDY W MD BIRMINGHAM AL
08620026 1417493305 WINTERS, KAREN A CRNP BIRMINGHAM AL
08709009 1639146327 WITHROW, KIRK P MD BIRMINGHAM AL
04130868 1689960478 WITT, CHANCE M MD MOBILE AL
02835202 1568948990 WOJTALA, KATHLEEN Q CRNP MOBILE AL
06635328 1477037422 WOLF, JERALEE R CRNP BIRMINGHAM AL
06589282 1548370950 WOLFSON, JULIE A MD BIRMINGHAM AL
Jan 31, 2021 82 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00984216 1568946101 WOOD, AMANDA L CRNP MOBILE AL
05424771 1942595350 WOOD, KYLE D MD BIRMINGHAM AL
02830062 1144412461 WOODALL, CASSIE B PA MOBILE AL
07085894 1013483338 WOODFIN, TARAH L CRNP BIRMINGHAM AL
06526561 1619360203 WOODS, KATIE M CRNP BIRMINGHAM AL
06331061 1679019756 WOODS, SHANNIS N CRNP BIRMINGHAM AL
00112144 1962592774 WOODWARD, ANGELIA M MD TUSCALOOSA AL
00115410 1558451377 WOODWARD, DOUGLAS K MD TUSCALOOSA AL
06921239 1720197510 WOODWORTH, BRADFORD A MD BIRMINGHAM AL
09480049 1801154554 WOOTEN, ELIZABETH C CRNP BIRMINGHAM AL
02655343 1942397922 WORKMAN JR, RONALD MD GARDENDALE AL
08804879 1912308750 WRIGHT, ANDI M CRNP BIRMINGHAM AL
03307276 1982858197 WRIGHT, ASHLEY D MD BIRMINGHAM AL
08507746 1265803639 WRIGHT, JUSTIN J CRNP BIRMINGHAM AL
01388301 1700814050 WRIGHTS, BOBBY MD MOBILE AL
09006813 1487851002 WU, CHANG L MD BIRMINGHAM AL
03300561 1679837595 WU, SONGWEI MD BIRMINGHAM AL
00055519 1174179576 WU, TIFFANY K CRNP BIRMINGHAM AL
01878583 1609020940 XAVIER, ANA C MD BIRMINGHAM AL
07632391 1487854543 XIE, MIN MD BIRMINGHAM AL
07974291 1750721932 YADAV, UDIT MD MUSCLE SHOALS AL
04472256 1871509240 YANG, GEORGE MD BIRMINGHAM AL
03626090 1912054735 YANG, SHIH-HSIN E MD BIRMINGHAM AL
04372852 1477815165 YOO, JUN DO MOBILE AL
02621128 1760033377 YOUN, EDWARD H CRNP BIRMINGHAM AL
00122977 1407870702 YOUNG, CARLTON J MD BIRMINGHAM AL
04830400 1225532989 YOUNG, LEKESHA T CRNP BIRMINGHAM AL
09459271 1528696721 YOUNG, PATRICK MD MOBILE AL
Jan 31, 2021 83 11:18:13 AM
Report: RP127
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF ALABAMA Run Date: 1/31/2021Run Time: 11:18 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01581028 1134519093 YULIATI, ASRI MD MOBILE AL
00123756 1326048356 YUNUS, FURHAN MD MOBILE AL
02022303 1467835314 ZAHID, MOHD MD BIRMINGHAM AL
01282509 1093276495 ZAIED, ROA M MD MOBILE AL
01606701 1669505368 ZALAMEA, RODERICK MD GARDENDALE AL
08726215 1801087747 ZAMORA, KATHRYN W MD BIRMINGHAM AL
01409327 1487954236 ZARICHNAK, ANDREA K CRNP BIRMINGHAM AL
02980351 1639334915 ZARZOUR, JESSICA G MD BIRMINGHAM AL
00112960 1710932041 ZAYEK, MICHAEL M MD MOBILE AL
01736230 1679580146 ZHOU, XIAOHUA MD BIRMINGHAM AL
02204773 1841569068 ZHOU, ZHENHONG MD MOBILE AL
02508856 1467490086 ZLOTY, PETER MD MOBILE AL
07200866 1174878029 ZOUK, ALINE N MD BIRMINGHAM AL
03171305 1275008302 ZUCHELLI, AUTUMN B CRNP BIRMINGHAM AL
06081801 1255374211 ZUSCHKE, CHRISTEN A MD MOBILE AL
Jan 31, 2021 84 11:18:13 AM