Individual provider Active NPI

Ansley Baccus, M.D.

  • Family Medicine Physician
  • Bessemer, AL
National Provider Identifier
1134501208
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.36052 Issued in AL
Practice address
915 Medical Center Dr
Bessemer, AL 35022
Phone
(205) 481-8664
Fax
(205) 481-8665
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 MD.36052 AL Primary

Addresses

Primary practice location

915 Medical Center Dr
Bessemer, AL 35022

Mailing address

915 Medical Center Dr
Bessemer, AL 35022-6025
Phone (205) 481-8664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address baccus.ansley@direct.uabmw.org

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
I20180815002847 AL Practitioner - Family Practice 5395053904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services Foundation PC 159 clinicians

Practice addresses (Care Compare)

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36052ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 17, 2022 Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Interoperability endpoints

  • Direct secure messaging: ansley.baccus.p1@direct.umc.nextgenshare.com
  • Direct secure messaging: baccus.ansley@direct.uabmw.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1134501208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MEDICAL CENTER DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226025",
            "telephone_number": "205-481-8664",
            "fax_number": "205-481-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MEDICAL CENTER DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-481-8664",
            "fax_number": "205-481-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCUS",
        "first_name": "ANSLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.36052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "baccus.ansley@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "915 Medical Center Dr",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.