Charles D. Coffey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12858 Issued in AL

Practice address

12205 County Line Rd Ste B
Madison, AL 35758-7720

Phone

(256) 325-6722

Fax

(256) 325-6724

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

95.45 of 100Reported as apm

Quality

90.9

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: ccoffey@yourcarecommunity.org
• Direct secure messaging: charles.coffey.1@3038.direct.athenahealth.com

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1093701849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 COUNTY LINE RD STE A2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562006",
            "telephone_number": "256-325-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587720",
            "telephone_number": "256-325-6722",
            "fax_number": "256-325-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501256",
            "country_code": "US",
            "telephone_number": "256-974-0606",
            "fax_number": "256-974-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 County Line Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357562006",
            "country_code": "US",
            "telephone_number": "256-325-6722",
            "fax_number": "256-325-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018203",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.coffey.1@3038.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "12100 County Line Rd Ste A2",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357562006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.