Individual provider Active NPI

Thomas Michael McIntyre, MD

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1144236779
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14254 Issued in AL
Practice address
3909 McFarland Blvd
Northport, AL 35476-2838
Phone
(205) 333-1993
NPI assigned
Aug 1, 2006
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14254 AL
Family Medicine Physician 207Q00000X 14254 AL Primary

Addresses

Primary practice location

3909 McFarland Blvd
Northport, AL 35476-2838

Mailing address

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993

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
I20061128000273 AL Practitioner - Family Practice 7810995982 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14254ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Demopolis, LLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Urgent Care Northwest PC Family Medicine CurrentSince May 12, 2026 Accepting new patients
Medcenter Primary Care, LLC Emergency Medicine CurrentSince Nov 4, 2018 Accepting new patients

Locations

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.mcintyre.medcenterdemopolis@mcd.direct.systemedx.com
  • Direct secure messaging: thomas.mcintyre.medcenternorth@mcn.direct.systemedx.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144236779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-333-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-333-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "14254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.