NPIMap

Individual provider Active NPI

Daniel Martin Mince, MD

  • Internal Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1073568812
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00010888 Issued in AL
Practice address
415 Medical Center Dr SW
Fort Payne, AL 35968-3421
Phone
(256) 997-2820
Fax
(256) 997-2890
NPI assigned
May 23, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00010888 AL Primary

Addresses

Primary practice location

415 Medical Center Dr SW
Fort Payne, AL 35968-3421

Mailing address

415 Medical Center Dr SW
Fort Payne, AL 35968-3421
Phone (256) 997-2820

Other identifiers 4

IdentifierTypeStateIssuer
051534799MedicaidAL
515-33800OtherALBCBS
515-34799OtherALBCBS
051533800MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001577 AL Practitioner - Internal Medicine 4486648078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - Dekalb RHC LLCGroup PAC ID 2769822568, 2 clinicians

Practice addresses (Care Compare)

415 Medical Ctr Dr SW
Fort Payne, AL 35968-3421
Phone (256) 997-1245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00010888ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Dekalb RHC, LLC CurrentSince Apr 1, 2024 Accepting new patients
Fort Payne Hospital Organization Past Accepting new patients
Fort Payne Clinic Corp. Internal Medicine Past Accepting new patients

Locations

415 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 899-7585

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: daniel.mince.1@30893.direct.athenahealth.com
  • Direct secure messaging: minced@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1073568812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683421",
            "telephone_number": "256-997-2820",
            "fax_number": "256-997-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683421",
            "telephone_number": "256-997-2820",
            "fax_number": "256-997-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCE",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00010888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051534799",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-33800",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-34799",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051533800",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.