Individual provider Active NPI

Sammy Lee McGough, D.C.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1134200728
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2141 Issued in AL
Practice address
502 Pratt Ave NE
Huntsville, AL 35801-6317
Phone
(256) 533-2900
Fax
(256) 533-1333
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2141 AL Primary

Addresses

Primary practice location

502 Pratt Ave NE
Huntsville, AL 35801-6317

Mailing address

502 Pratt Ave NE
Huntsville, AL 35801-6317
Phone (256) 682-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000230 AL Practitioner - Chiropractic 8921039074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2141ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Center LLC Chiropractor CurrentSince Sep 13, 2018 Accepting new patients
Discovery Medical Center LLC CurrentSince Sep 13, 2018 Accepting new patients
Silver Group Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

415E Church St NW
Ste 1AND2
Huntsville, AL 35801
Phone (256) 533-2900

502 Pratt Ave NE
Huntsville, AL 35801
Phone (256) 533-2900

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1134200728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PRATT AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016317",
            "telephone_number": "256-682-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 PRATT AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016317",
            "telephone_number": "256-533-2900",
            "fax_number": "256-533-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "SAMMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2141",
            "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 May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.