Individual provider Active NPI

Michael Loudon Marshall

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1083119473
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.39155 Issued in AL
Practice address
2451 USA Medical Center Dr
Mobile, AL 36617-2300
Phone
(251) 461-4243
Fax
(251) 450-4323
NPI assigned
Mar 27, 2018
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X MD.39155 AL Primary

Addresses

Primary practice location

2451 USA Medical Center Dr
Mobile, AL 36617-2300

Mailing address

2451 USA Medical Center Dr
Mobile, AL 36617-2300

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
I20210428002359 AL Practitioner - Psychiatry 3577808716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

75 S University Blvd
Suite 6000 a
Mobile, AL 36608-3271
Phone (251) 660-5787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Apr 16, 2021 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Jul 1, 2022 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Apr 16, 2021 Accepting new patients

Locations

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

Interoperability endpoints

  • Direct secure messaging: michael.marshall.1@16253.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1083119473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 USA MEDICAL CENTER DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 USA MEDICAL CENTER DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-461-4243",
            "fax_number": "251-450-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "LOUDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.39155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.