Individual provider Active NPI

Megan McKown Ogburn, PA

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1063719227
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1485 Issued in AL
Practice address
6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone
(251) 607-9797
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200430 LA
Physician Assistant 363A00000X PA.1485 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone (251) 607-9797

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
I20191011002680 AL Practitioner - Physician Assistant 1355523648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Suite
101 1720 Springhill Ave
Mobile, AL 36607-1417
Phone (251) 438-4600

Suite
D330 6701 Airport Blvd
Mobile, AL 36608-6758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.1485ALMDPhysician Assistant
PA.200430LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc CurrentSince Sep 1, 2019 Accepting new patients
East Jefferson After Hours, Metairie, LLC Past Accepting new patients
East Jefferson After Hours, LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

1720 Spring Hill Ave
Ste 101
Mobile, AL 36604
Phone (251) 438-4600

Interoperability endpoints

  • Direct secure messaging: meganogburn@cam.allscriptsdirect.net

Organizations & group practices 4

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 4

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1063719227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBURN",
        "first_name": "MEGAN",
        "middle_name": "MCKOWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200430",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.