Provider Demographics
NPI:1386653285
Name:HARRELSON, PAUL MCREE (PA-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MCREE
Last Name:HARRELSON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 MEDICAL WEST WAY STE 302
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7082
Mailing Address - Country:US
Mailing Address - Phone:205-201-1501
Mailing Address - Fax:800-325-1146
Practice Address - Street 1:5000 MEDICAL WEST WAY STE 302
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7082
Practice Address - Country:US
Practice Address - Phone:205-201-1501
Practice Address - Fax:800-325-1146
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-110363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009931986Medicaid
AL051529176OtherBLUE CROSS
AL009931984Medicaid
AL051529175OtherBLUE CROSS
AL009931986Medicaid