Miranda Kolby Crowell, MD
Individual provider Active NPI Psychiatry Physician · Mobile, AL
NPI 1003556077 · NPPES record last updated Oct 14, 2023
Key facts
- NPI
- 1003556077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- L.5775R (AL)
- Practice address
- 2451 University Hospital Dr RM 714
Mobile, AL 36617-2300 - Phone
- (251) 660-2360
- Fax
- (251) 450-4323
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of South Alabama College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altapointe Health Systems Inc
Practice addresses (Care Compare)
2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 450-2211
5800 Southland Dr
Mobile, AL 36693-3313
Phone (251) 661-0173
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710000467 | AL | Practitioner - Psychiatry | 7810371366 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altapointe Health Systems, Inc. | Current |
Accepting new patients | |
| Altapointe Health Systems, Inc. | Current |
Accepting new patients |
Locations
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282
Interoperability endpoints
- miranda.crowell.1@27270.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | L.5775R | AL | Yes |
Addresses
Primary practice location
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Mailing address
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Phone (251) 660-2360
Other providers in Mobile, AL
- Cynthia Renea Crowder
- James B. Crowder
- Emily Crowe
- Anne Crowell
- Julia Beatrice Crowell
- Sonja L Crowell
- Crowne Health Care of Mobile, LLC
- Crowne Health Care of Springhill
- Deanna K Crozier
- Kendra Crum
All providers in Mobile, AL · Psychiatry Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.