Active NPI
Elmo Dodd Ozment Jr., MD
- Internal Medicine Physician
- Mount Vernon, AL
National Provider Identifier
1013975788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3604
- Practice address
- 950 W Coy Smith Hwy
Mount Vernon, AL 36560-3201 - Phone
- (251) 829-9884
- Fax
- (251) 829-9507
- NPI assigned
- May 3, 2006
- Last updated
- Oct 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3604 | AL | Primary |
Addresses
Primary practice location
950 W Coy Smith Hwy
Mount Vernon, AL 36560-3201
Mailing address
PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8894
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| 1710060 | Other | AL | UNITED HEALTHCARE |
| 630000013 | Medicaid | AL | |
| 1063439065 | Other | AL | NPI GROUP PAYEE NUMBER |
| 020032330 | Other | AL | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181226002020 | AL | Practitioner - Family Practice | 1850352550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Finance | Past | Accepting new patients | |
| State of Alabama Dept of Finace | Past | Accepting new patients | |
| Mobile County Board of Health | Past | Accepting new patients | |
| Mobile County Board of Health | Past | Accepting new patients | |
| Surgeons of Mobile PC | Past | Accepting new patients |
Networks
- bcbs alabama network 01H0
- bcbs alabama network 01C0
- bcbs alabama network 01E0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Citronelle Dental Clinic
- State or Local Public Health Clinic/Center
- Citronelle, AL
- NPI 1578919890
-
dba Mobile Medical Van
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1659584555
-
dba Taylor Hardin Secure Medical Facility
- Psychiatric Hospital
- Tuscaloosa, AL
- NPI 1437295409
-
dba Searcy Hospital
- Psychiatric Hospital
- Mount Vernon, AL
- NPI 1427066307
-
- Surgery Physician
- Mobile, AL
- NPI 1689778318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1013975788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2867",
"city": "MOBILE",
"state": "AL",
"postal_code": "366522867",
"telephone_number": "251-690-8894",
"fax_number": "251-544-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W COY SMITH HWY",
"city": "MOUNT VERNON",
"state": "AL",
"postal_code": "365603201",
"telephone_number": "251-829-9884",
"fax_number": "251-829-9507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZMENT",
"first_name": "ELMO",
"middle_name": "DODD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "3604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PAYEE NUMBER",
"identifier": "011846",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1710060",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630000013",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP PAYEE NUMBER",
"identifier": "1063439065",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020032330",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.