MEDICARE: CHARLES B GILLS NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1074860	AL

General Provider Information

NPI Number	:	1215927223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES B GILLS NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	8530 DIAMOND OAK DR
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-7418
Country	:	US
Telephone Number	:	205-759-2186
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 HOSPITAL DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3360
Country	:	US
Telephone Number	:	205-366-3334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/28/2014

Similar Medicare Providers

1588669048 — DR. LEE C. CARTER M.D.
Practice Location Address:

2700 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-989-1080
Practice Fax: 205-989-1087

1174529028 — DR. FREDERICK W. ROCK M.D.
Practice Location Address:

2700 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-989-1080
Practice Fax: 205-989-1087

1992779672 — ELIZABETH C EMIG M.D.
Practice Location Address:

2750 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-339-3039
Practice Fax: 205-339-9908

1013982750 — MYRON S CHWE M.D.
Practice Location Address:

2750 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-339-3039
Practice Fax: 205-339-9908

1992779680 — THOMAS A ROSENSTIEL M.D.
Practice Location Address:

2750 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-339-3039
Practice Fax: 205-339-9908

1134193824 — JAMES SIDNEY SMITH M.D.
Practice Location Address:

2750 HOSPITAL DR
NORTHPORT, AL
35476-3360

Practice Phone: 205-339-3039
Practice Fax: 205-339-9908

Directions to “ CHARLES B GILLS NURSE PRACTITIONER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.