NPIMap

Organization Active NPI

New South Psychiatry,PC

  • Neurology Physician
  • Mobile, AL
National Provider Identifier
1063913630
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEW SOUTH PSYCHIATRY,PC
Practice address
3209 Midtown Park S
Mobile, AL 36606-4126
Phone
(251) 525-9090
Fax
(251) 525-9091
NPI assigned
Feb 28, 2018
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Mark A Haygood, DONPI 1073834370
Title
President
Phone
(251) 380-6241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

3209 Midtown Park S
Mobile, AL 36606-4126

Mailing address

3209 Midtown Park S
Mobile, AL 36606-4126
Phone (251) 525-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827000942 AL Part B Supplier - Clinic/Group Practice 8921357898 Receives reassigned benefits from 10 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

2854 Old Shell Rd
Mobile, AL 36607
Phone (251) 525-9090

3209 Midtown Park S
Mobile, AL 36606
Phone (251) 525-9090

3737 Government Blvd
Ste 312
Mobile, AL 36693
Phone (251) 525-9090

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1063913630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 MIDTOWN PARK S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064126",
            "telephone_number": "251-525-9090",
            "fax_number": "251-525-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 MIDTOWN PARK S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064126",
            "telephone_number": "251-525-9090",
            "fax_number": "251-525-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SOUTH PSYCHIATRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "HAYGOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-380-6241",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.