MEDICARE: PREVENTIVE CARE MEDICAL GROUP,LLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1871847988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVENTIVE CARE MEDICAL GROUP,LLC

Provider Business Mailing Address
First Line	:	210 NORTH ST W
Second Line	:	SUITE C
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2083
Country	:	US
Telephone Number	:	256-362-0066
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 NORTH ST W
Second Line	:	SUITE C
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2083
Country	:	US
Telephone Number	:	256-362-0066
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANTHONY LESSA
Credential	:	MD
Telephone Number	:	256-362-0066

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	10/29/2012

Similar Medicare Providers

1619962511 — PROFESSIONAL APOTHECARY INC.
Practice Location Address:

210 NORTH ST W
TALLADEGA, AL
35160-2083

Practice Phone: 256-362-8328
Practice Fax: 256-362-8361

1407931827 — PROFESSIONAL APOTHECARY, INC.
Practice Location Address:

210 NORTH ST W
TALLADEGA, AL
35160-2083

Practice Phone: 256-362-8328
Practice Fax: 256-362-8361

1982800884 — TALLADEGA NEPHROLOGY, LLC
Practice Location Address:

210 NORTH ST W
TALLADEGA, AL
35160-2083

Practice Phone: 256-521-1996
Practice Fax:

1265662720 — LANDMARK NEPHROLOGY & HYPERTENSION CLINIC. P.C
Practice Location Address:

210 NORTH ST W , SUITE D
TALLADEGA, AL
35160-2083

Practice Phone: 256-283-9760
Practice Fax:

1396043881 — ANTHONY LESSA MD
Practice Location Address:

210 NORTH ST W
TALLADEGA, AL
35160-2083

Practice Phone: 256-362-0066
Practice Fax: 256-362-6700

1780055319 — PREVENTIVE CARE MEDICL GROUP
Practice Location Address:

210 NORTH ST W , SUITE E
TALLADEGA, AL
35160-2083

Practice Phone: 256-362-0066
Practice Fax: 256-362-6700

Directions to “PREVENTIVE CARE MEDICAL GROUP,LLC ” 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 © 2007-2025 (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.