Individual provider Active NPI

Michael Ellison Canfield, MD

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1124084785
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11492 Issued in AL
Practice address
890 N Dean Rd Ste 500
Auburn, AL 36830-9454
Phone
(334) 821-2708
Fax
(334) 821-3309
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11492 AL Primary

Addresses

Primary practice location

890 N Dean Rd Ste 500
Auburn, AL 36830-9454

Mailing address

890 N Dean Rd Ste 500
Auburn, AL 36830-9454
Phone (334) 821-2708

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
I20160205001035 AL Practitioner - Family Practice 3274428230

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.51 of 100Reported as group
Quality
79.01
Promoting interoperability
99
Improvement activities
40
Cost
73.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11492ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Healthcare, LLC PastSince Jan 21, 2022 Accepting new patients

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1124084785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 500",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309454",
            "telephone_number": "334-821-2708",
            "fax_number": "334-821-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 500",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309454",
            "telephone_number": "334-821-2708",
            "fax_number": "334-821-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "MICHAEL",
        "middle_name": "ELLISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.