Organization Active NPI

Decatur Morgan Neurology

  • Neurology Physician
  • Decatur, AL
National Provider Identifier
1144691908
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DECATUR MORGAN NEUROLOGY
Practice address
1215 7TH St SE
Suite 260
Decatur, AL 35601-3337
Phone
(256) 350-4885
Fax
(256) 350-4805
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Kelli S Powers
Title
Ceo
Phone
(256) 973-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1215 7TH St SE
Suite 260
Decatur, AL 35601-3337

Mailing address

PO Box 2239
Decatur, AL 35609-2239
Phone (256) 350-4885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203000195 AL Part B Supplier - Clinic/Group Practice 6002116621 Receives reassigned benefits from 10 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

1206 Somerville Rd SE
Decatur, AL 35601
Phone (256) 340-5188

1215 7th St SE
Ste 260
Decatur, AL 35601
Phone (256) 350-4885

1101 Somerville Rd SE
Decatur, AL 35601
Phone (251) 350-4902

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

1213 13th Ave SE
Decatur, AL 35601
Phone (256) 355-8200

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1144691908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356092239",
            "telephone_number": "256-350-4885",
            "fax_number": "256-350-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE",
            "address_2": "SUITE 260",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-350-4885",
            "fax_number": "256-350-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MORGAN NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-973-2150"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.