Individual provider Active NPI

Melissa McCullum Toner, M.D.

  • Internal Medicine Physician
  • Gardendale, AL
National Provider Identifier
1154374841
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21240 Issued in AL
Practice address
2217 Decatur Hwy
Suite 101
Gardendale, AL 35071-2301
Phone
(205) 418-1200
Fax
(205) 418-1210
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21240 AL Primary

Addresses

Primary practice location

2217 Decatur Hwy
Suite 101
Gardendale, AL 35071-2301

Mailing address

2217 Decatur Hwy
Suite 101
Gardendale, AL 35071-2301
Phone (205) 418-1200

Other identifiers 3

IdentifierTypeStateIssuer
P00264325OtherALRAILROAD MEDICARE
051530579MedicaidAL
0411279OtherALUNITED HEALTHCARE

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
I20051031000400 AL Practitioner - Internal Medicine 3072530948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

2217 Decatur Hwy
Suite 101
Gardendale, AL 35071-2301
Phone (205) 418-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21240ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
St Vincents Pinson Clinic LLC Internal Medicine Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2701 7th Ave S
Birmingham, AL 35233
Phone (205) 558-3484

2217 Decatur Hwy
Gardendale, AL 35071
Phone (205) 418-1200

2217 Decatur Hwy
Ste 101
Gardendale, AL 35071
Phone (205) 418-1200

Interoperability endpoints

  • Direct secure messaging: melissa.toner.1@9069.direct.athenahealth.com

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1154374841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 DECATUR HWY",
            "address_2": "SUITE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712301",
            "telephone_number": "205-418-1200",
            "fax_number": "205-418-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 DECATUR HWY",
            "address_2": "SUITE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712301",
            "telephone_number": "205-418-1200",
            "fax_number": "205-418-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONER",
        "first_name": "MELISSA",
        "middle_name": "MCCULLUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00264325",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051530579",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0411279",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.