MEDICARE: AAAPC OF NORTHEAST AL, INC.

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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1407503022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAAPC OF NORTHEAST AL, INC.

Provider Business Mailing Address
First Line	:	11744 US HIGHWAY 431
Second Line	:
City	:	BOAZ
State	:	AL
Zip	:	35956-2104
Country	:	US
Telephone Number	:	256-803-8800
Fax Number	:	205-338-6658

Provider Business Practice Location Address
First Line	:	11744 US HIGHWAY 431
Second Line	:
City	:	BOAZ
State	:	AL
Zip	:	35956-2104
Country	:	US
Telephone Number	:	205-338-6655
Fax Number	:	205-338-6658

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	COREY GILLILAND
Credential	:	MD
Telephone Number	:	205-338-6655

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	07/24/2024

Similar Medicare Providers

1851426068 — NORTH ALABAMA FAMILY PRACTICE, PC
Practice Location Address:

11744 US HIGHWAY 431
BOAZ, AL
35956-2104

Practice Phone: 256-593-0251
Practice Fax: 256-593-0076

1225089675 — QUALITY OF LIFE HEALTH SERVICES, INC
Practice Location Address:

1989 SARDIS DR
BOAZ, AL
35956-2344

Practice Phone: 256-492-0131
Practice Fax:

1265662183 — MRS. KATHY LEIGH VAUGHN CRNP
Practice Location Address:

1180 SARDIS DR
BOAZ, AL
35956-2139

Practice Phone: 256-593-9999
Practice Fax: 256-593-9141

1407186703 — MR. CHAD KNIGHT LCSW
Practice Location Address:

1989 SARDIS DR
BOAZ, AL
35956-2344

Practice Phone: 256-593-2371
Practice Fax:

1891003380 — MR. KENNETH J ALLEN RN
Practice Location Address:

2277 BUFFINGTON RD.
BOAZ, AL
35956

Practice Phone: 256-840-6352
Practice Fax:

1831596717 — MS. JENNIFER LAUREN MCCOY
Practice Location Address:

411 OVERLOOK RD
BOAZ, AL
35956-5928

Practice Phone: 256-490-7981
Practice Fax:

Directions to “AAAPC OF NORTHEAST AL, INC. ” 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.