Active NPI
Courtney Fennell, D.O.
- Family Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2359
- Practice address
- 9000 Bailey Cove Rd SE
Huntsville, AL 35802-4002 - Phone
- (256) 428-4900
- Fax
- (256) 428-4912
- NPI assigned
- Apr 19, 2016
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2359 | AL | Primary |
Addresses
Primary practice location
9000 Bailey Cove Rd SE
Huntsville, AL 35802-4002
Mailing address
PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 428-4900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 Bailey Cove Rd SE
Huntsville, AL 35802-4002
Phone (256) 428-4900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2359 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Physician Care | Family Medicine | Current | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
9000 Bailey Cove Rd SE
Huntsville, AL 35802
Phone (256) 428-4900
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Huntsville, AL
- NPI 1013975309
-
dba Crestwood Medical Center
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
-
dba Marshall Medical Center
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1114371820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358042705",
"telephone_number": "256-428-4900",
"fax_number": "256-428-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 BAILEY COVE RD SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358024002",
"telephone_number": "256-428-4900",
"fax_number": "256-428-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "COURTNEY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "2359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.