Individual provider Active NPI

Cynthia R Mouton, M.D.

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1013202563
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.33021 Issued in AL
Practice address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone
(251) 435-7289
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23568 MS
Family Medicine Physician 207Q00000X MD.33021 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir
Mobile, AL 36607-3513

Mailing address

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001479 AL Practitioner - Family Practice 2163655788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services Foundation PCGroup PAC ID 6103724489, 159 clinicians

Practice addresses (Care Compare)

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33021ALMDFamily Medicine Physician
23568MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Foundation PC CurrentSince Dec 8, 2022 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Sep 21, 2015 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jun 8, 2015 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Dec 8, 2022 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Sep 21, 2015 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Imc-Hospitalists LLC CurrentSince May 1, 2020 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine Current Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jun 8, 2015 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Interoperability endpoints

  • Direct secure messaging: cynthia.mouton.p1@direct.umc.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1013202563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041402",
            "telephone_number": "251-435-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "23568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.