Roosevelt McCorvey, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD.7451 Issued in AL

Practice address

2455 Bell Rd
Montgomery, AL 36117-4336

Phone

(334) 747-8980

Fax

(334) 747-8970

NPI assigned

Aug 30, 2006

Last updated

Mar 17, 2018By the provider in NPPES

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 10

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390

  Single Specialty

  Medicare reassignment NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279

  Single Specialty

  NPD
• Health Services Inc

  dba River Region Health Center

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1205844719
  NPD
• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218

  Single Specialty

  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD
• The Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Surgical Specialists

  • Specialist
  • Montgomery, AL
  • NPI 1881881266

  Single Specialty

  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Health Care Partners

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD (past)
• The Health Care Authority for Baptist Health

  dba Baptist Medical Center South - Wound Care

  • Clinic/Center
  • Montgomery, AL
  • NPI 1538347067

  Single Specialty

  NPD (past)
• The Health Care Authority for Baptist Health

  dba Alabama Oncology Hematology Associates

  • Hematology & Oncology Physician
  • Montgomery, AL
  • NPI 1972749398

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093825127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-273-4159",
            "fax_number": "334-273-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174336",
            "telephone_number": "334-747-8980",
            "fax_number": "334-747-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162001",
            "country_code": "US",
            "telephone_number": "334-747-8920",
            "fax_number": "334-747-8930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4371 Narrow Lane Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162971",
            "country_code": "US",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8134 Seaton Pl",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361167204",
            "country_code": "US",
            "telephone_number": "334-356-4873",
            "fax_number": "334-356-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORVEY",
        "first_name": "ROOSEVELT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.7451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-94294",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933571",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202249",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-94292",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200583",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6614160",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01873133",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200816",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-94291",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I68010",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Gregg McConnell, STUDENT
• Melonie McCord-Judkins, MRC, ALC
• Stacey McCorkle, PHARMD
• Angela B. McCormick, MS,RD,LD
• Lindsay Marvelle McCormick, PT
• Lovietta Faye McCoy, LPC, NCC
• Sharon April McCoy
• Charlotte Louise McCray, P.T.
• Sarah Goff McCrory, LPC
• Nathan McCroskey

• Obstetrics & Gynecology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.