Individual provider Active NPI

Edward Wesley Knowles, M.D.

  • Surgery Physician
  • Scottsboro, AL
National Provider Identifier
1114925815
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17019 Issued in AL
Practice address
911 S Broad St
Scottsboro, AL 35768-2509
Phone
(256) 259-0185
Fax
(256) 259-0317
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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 17019 AL Primary
Emergency Medicine Physician 207P00000X 17019 AL

Addresses

Primary practice location

911 S Broad St
Scottsboro, AL 35768-2509

Mailing address

911 S Broad St
Scottsboro, AL 35768-2509
Phone (256) 259-0185

Other identifiers 2

IdentifierTypeStateIssuer
051555306MedicaidAL
51000144OtherALBLUE CROSS

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
I20041111000436 AL Practitioner - General Surgery 3173586245 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17019ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc Current Accepting new patients
Ess of Luverne LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Community Hospital Inc CurrentSince Sep 1, 2012 Accepting new patients
Community Hospital Inc Current Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince May 15, 2018 Accepting new patients
Ich ER Services of Alabama, LLC Emergency Medicine CurrentSince Jun 3, 2024 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
Community Hospital, Inc CurrentSince Sep 1, 2012 Accepting new patients
Highlands Surgical Services LLC Surgery CurrentSince May 3, 2016 Accepting new patients
Jackson County Healthcare Authority Past Accepting new patients
Gurinder Doad MD PHD Past Accepting new patients
Charles B. Lovelady, M.D., L.L.C. Surgery Past Accepting new patients

Locations

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

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

29 L V Stabler Dr
Greenville, AL 36037
Phone (334) 382-2676

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

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

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

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

911 S Broad St
Scottsboro, AL 35768
Phone (256) 259-0185

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

509 Burlington St
Scottsboro, AL 35768
Phone (256) 259-4817

380 Woods Cove Rd
Ste B
Scottsboro, AL 35768
Phone (256) 259-0185

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

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1114925815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S BROAD ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682509",
            "telephone_number": "256-259-0185",
            "fax_number": "256-259-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S BROAD ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682509",
            "telephone_number": "256-259-0185",
            "fax_number": "256-259-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "EDWARD",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "17019",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "17019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555306",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51000144",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.