Individual provider Active NPI

Charles Lee McCain, M.D.

  • Obstetrics & Gynecology Physician
  • Madison, AL
National Provider Identifier
1114986791
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19625 Issued in AL
Practice address
1041 Balch Rd Ste 250
Madison, AL 35758-8822
Phone
(256) 704-2229
Fax
(256) 704-2235
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19625 AL Primary

Addresses

Primary practice location

1041 Balch Rd Ste 250
Madison, AL 35758-8822

Mailing address

1041 Balch Rd Ste 250
Madison, AL 35758-8822
Phone (256) 704-2229

Other identifiers 2

IdentifierTypeStateIssuer
000026538MedicaidAL
000026541MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19625ALMDObstetrics & Gynecology Physician
19265ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group of Alabama PC Obstetrics & Gynecology CurrentSince Sep 26, 2024 Accepting new patients

Locations

1041 Balch Rd
Ste 250
Madison, AL 35758
Phone (256) 355-9711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1114986791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "CHARLES",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "19625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026538",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026541",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.