Individual provider Active NPI

Clemmie Palmer III, M.D.

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1043211758
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20071 Issued in AL
Practice address
3090 Woodley Rd Ste a
Montgomery, AL 36116-3190
Phone
(334) 280-3230
Fax
(334) 280-3272
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 20071 AL Primary

Addresses

Primary practice location

3090 Woodley Rd Ste a
Montgomery, AL 36116-3190

Mailing address

PO Box 252026
Montgomery, AL 36125-2026
Phone (334) 280-3230

Other identifiers 6

IdentifierTypeStateIssuer
20071OtherALMEDICAL LICENSE
51099544OtherALFED BCBS
274116OtherALVALUE OPTIONS/UPS SOLUTIONS
51077444OtherALBCBS OF ALABAMA
00150005325OtherUNITED HEALTHCARE
529803110MedicaidAL

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
I20110623000012 AL Practitioner - Psychiatry 6507844230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cahaba Center for Mental Health and Mental RetardationGroup PAC ID 2567405384, 10 clinicians

Practice addresses (Care Compare)

1017 Medical Ctr Pkwy
Selma, AL 36701-6780
Phone (334) 875-2100

3090 Woodley Rd
Suite a
Montgomery, AL 36116-3190
Phone (334) 280-3230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20071ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Department of Human Resources Single Specialty Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1043211758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252026",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361252026",
            "telephone_number": "334-280-3230",
            "fax_number": "334-280-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 WOODLEY RD STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163190",
            "telephone_number": "334-280-3230",
            "fax_number": "334-280-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CLEMMIE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "20071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20071",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BCBS",
            "identifier": "51099544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/UPS SOLUTIONS",
            "identifier": "274116",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51077444",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00150005325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529803110",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.