MEDICARE: PSYCHIATRY 280, P.C.

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	2084P0800X	Psychiatry Physician	MD32834	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528456779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHIATRY 280, P.C.

Provider Business Mailing Address
First Line	:	3840 REDDICK RD
Second Line	:
City	:	PALMYRA
State	:	TN
Zip	:	37142-2141
Country	:	US
Telephone Number	:	256-499-1629
Fax Number	:	423-523-0994

Provider Business Practice Location Address
First Line	:	2803 GREYSTONE COMMERCIAL BLVD STE 12
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-9603
Country	:	US
Telephone Number	:	205-968-1227
Fax Number	:	205-968-1229

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAMUEL ANDREW POLEK
Credential	:	MD
Telephone Number	:	256-499-1629

Provider Enumeration Date	:	12/22/2014
Last Update Date	:	10/02/2023

Similar Medicare Providers

1285019927 — PSYCHIATRY 280 COUNSELING SERVICES INC
Practice Location Address:

2803 GREYSTONE COMMERCIAL BLVD STE 12
BIRMINGHAM, AL
35242-9603

Practice Phone: 205-968-1227
Practice Fax: 205-968-1229

1255387213 — MARY LANE GOULD-HARTLINE APRN BC CEDS
Practice Location Address:

2803 GREYSTONE COMMERCIAL BLVD STE 12
HOOVER, AL
35242-9603

Practice Phone: 205-968-1227
Practice Fax:

1972452951 — NICHOLAS SAFFORD
Practice Location Address:

2700 CORPORATE DR STE 200
BIRMINGHAM, AL
35242-2733

Practice Phone: 334-521-2040
Practice Fax:

1275482192 — DANA MUNNINGS IBCLC
Practice Location Address:

265 GRIFFIN PARK TRCE
BIRMINGHAM, AL
35242-7162

Practice Phone: 205-639-9575
Practice Fax:

1235369158 — DR. DUGALD RICHARD MCMILLAN IV D.M.D.
Practice Location Address:

5291 VALLEYDALE RD STE 129
BIRMINGHAM, AL
35242-7707

Practice Phone: 205-995-3989
Practice Fax:

1043177769 — GRAHAM WARREN
Practice Location Address:

1401 PROVIDENCE PARK STE 250
BIRMINGHAM, AL
35242-4787

Practice Phone: 205-374-5247
Practice Fax:

Directions to “PSYCHIATRY 280, P.C. ” 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.