Individual provider Active NPI

Mark Alan Haygood, D.O.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1073834370
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO.1096 Issued in AL
Practice address
3209 Midtown Park S
Mobile, AL 36606-4126
Phone
(251) 525-9090
Fax
(251) 525-9091
NPI assigned
Jun 21, 2010
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO.1096 AL 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120706000375 AL Practitioner - Psychiatry 3971768425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New South Psychiatry, PCGroup PAC ID 8921357898, 5 clinicians

Practice addresses (Care Compare)

3737 Government Blvd
Suite 312
Mobile, AL 36693-4361
Phone (251) 343-9090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1096ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New South Psychiatry,PC CurrentSince Feb 9, 2018 Accepting new patients
Veterans Recovery Resources CurrentSince Feb 3, 2023 Accepting new patients
South Point Connection, LLC PastSince Aug 1, 2021 Accepting new patients
Veterans Recovery Resources PastSince Jun 30, 2024 Accepting new patients

Locations

1200 Spring Hill Ave
#A
Mobile, AL 36604
Phone (251) 405-3677

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

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

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, 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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1073834370",
    "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": {
        "last_name": "HAYGOOD",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.