Monroe County Health Care Authority

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONROE COUNTY HEALTH CARE AUTHORITY

Practice address

1075 Drewry Road
Monroeville, AL 36460

Phone

(251) 575-3111

Fax

(251) 743-7445

NPI assigned

Nov 15, 2007

Organization subpart

Yes

Parent organization

MONROE COUNTY HEALTH CARE AUTHORITYAs reported in NPPES

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

Authorized official

Name

Mr. Charles Wesley Nall

Title

Ceo

Phone

(251) 743-7430

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MCH Primary Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Monroe County Health Care Authority

  • Medical Oncology Physician
  • Monroeville, AL
  • NPI 1144492133

  O20040203000319

  Same enrollment
• Monroe County Health Care Authority

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904

  O20040203000319

  Same enrollment
• Monroe County Health Care Authority

  • Surgery Physician
  • Monroeville, AL
  • NPI 1538100052

  O20040203000319

  Same enrollment
• Monroe County Health Care Authority

  • Clinical Medical Laboratory
  • Monroeville, AL
  • NPI 1811027576

  O20040203000319

  Same enrollment

Part of

MCH Surge3Ry Clinic

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George E Fahy III, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Bay Minette, AL
  • NPI 1578586798
  NPD
• James R Norman, MD

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1437411576
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1053592295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 886",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 DREWRY ROAD",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROE COUNTY HEALTH CARE AUTHORITY",
        "enumeration_date": "2007-11-15",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-743-7430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCH Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Ferguson McMillan, LPC-S
• Mary Kate Wampler McMillian
• Ashley Ryan McPhaul, CRNA MS
• Joseph Tyler Mitchell
• Monroe County
• Monroe County Health Care Authority
• Monroe County Health Care Authority
• Monroe County Health Care Authority
• Monroe County Health Care Authority
• Monroe County Health Care Authority

• Family Medicine Physician in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.