NPIMap

Individual provider Active NPI

David Kern Stallworth, M.D.

  • Surgery Physician
  • Monroeville, AL
National Provider Identifier
1083662688
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14114 Issued in AL
Practice address
2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone
(205) 180-3606
NPI assigned
May 5, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14114 AL Primary
Emergency Medicine Physician 207P00000X 00014114 AL

Addresses

Primary practice location

2016 S Alabama Ave
Monroeville, AL 36460-3044

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

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
I20050315000279 AL Practitioner - Emergency MedicinePractitioner - General Surgery 4981659786 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ich ER Services of Alabama, LLCGroup PAC ID 2365988185, 13 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 575-3111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision25
Removal of skin lesions15
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00014114ALMDEmergency Medicine Physician
14114ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 1, 2011 Accepting new patients
Ich ER Services of Alabama, LLC Emergency Medicine CurrentSince Jun 25, 2024 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
Monroe County Health Care Authority CurrentSince Feb 3, 2003 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine Current Accepting new patients
Monroe County Health Care Authority Surgery CurrentSince Feb 3, 2003 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Jun 27, 2014 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Nov 16, 2012 Accepting new patients
Monroe County Health Care Authority Current Accepting new patients
Newgen Alabama Billing LLC Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Princeton Womens Care Past Accepting new patients
The Surgeons' Group, PC Surgery PastSince Oct 1, 2018 Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2016 S Alabama Ave
Fl 1
Monroeville, AL 36460
Phone (251) 660-5930

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

75 Remit Dr
Chicago, IL 60675

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe County HospitalMonroeville, AL, CCN 011310 Hospital Corporate Officer Oct 1, 2025
MCH Rural Health ClinicMonroeville, AL, CCN 013483 Rural health clinic Corporate Director (5%) May 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1083662688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S ALABAMA AVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603044",
            "telephone_number": "205-180-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "DAVID",
        "middle_name": "KERN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "14114",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00014114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.