Individual provider Active NPI

Roger Darren McLain, NP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1053524140
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-070030 Issued in AL
Practice address
201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183
Phone
(256) 265-7246
Fax
(256) 265-7017
NPI assigned
May 7, 2007
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-070030 AL Primary

Addresses

Primary practice location

201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183

Mailing address

PO Box 11407
Birmingham, AL 35246-0116
Phone (256) 533-7064

Other identifiers 1

IdentifierTypeStateIssuer
0000106929MedicaidAL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000486 AL Practitioner - Nurse Practitioner 4082701024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livinghealthymd PCGroup PAC ID 1658775226, 9 clinicians

Practice addresses (Care Compare)

2314 Pansy St SW
Huntsville, AL 35801-3803

431 Johnston St SE
Decatur, AL 35601-3007
Phone (256) 715-7483

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livinghealthymd PC CurrentSince Apr 1, 2023 Accepting new patients
Tennessee Valley Pain Consultants, PC CurrentSince Apr 1, 2017 Accepting new patients
Alabama Smile Builders, P.C. Past Accepting new patients
Covenant Pain Therapies Center, Inc Past Accepting new patients
Alabama Pain Center, LLC Past Accepting new patients

Locations

431 Johnston St SE
Decatur, AL 35601
Phone (256) 355-1744

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

3626 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 715-7483

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDECD/Endpoint/GIDECD

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1053524140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460116",
            "telephone_number": "256-533-7064",
            "fax_number": "256-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015183",
            "telephone_number": "256-265-7246",
            "fax_number": "256-265-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "ROGER",
        "middle_name": "DARREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-070030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000106929",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.