Individual provider Active NPI

Nathaniel Scott Winstead, MD

  • Gastroenterology Physician
  • Fairhope, AL
National Provider Identifier
1184732976
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25945 Issued in AL
Practice address
188 Hospital Dr Ste 405
Fairhope, AL 36532-2018
Phone
(251) 990-0360
Fax
(251) 990-0366
NPI assigned
Aug 29, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.025020 LA
Gastroenterology Physician 207RG0100X 25945 AL Primary

Addresses

Primary practice location

188 Hospital Dr Ste 405
Fairhope, AL 36532-2018

Mailing address

188 Hospital Dr Ste 405
Fairhope, AL 36532-2018
Phone (251) 990-0360

Other identifiers 2

IdentifierTypeStateIssuer
1424986MedicaidLA
02428567MedicaidMS

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
I20200825000906 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 2264514553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Gulf Coast Gastroenterology LLCGroup PAC ID 6103128194, 6 clinicians

Practice addresses (Care Compare)

188 Hospital Dr
Suite 405
Fairhope, AL 36532-2018
Phone (251) 990-0360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy257
Upper gastrointestinal (GI) endoscopy for acid reflux227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.025020LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Imc-Gulf Coast Gastroenterology LLC Gastroenterology CurrentSince Oct 1, 2020 Accepting new patients
Louisiana Ear, Nose, & Throat Specialists, Inc. Past Accepting new patients
Haydel Dermatology Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

188 Hospital Dr
Ste 405
Fairhope, AL 36532
Phone (251) 279-4600

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

Interoperability endpoints

  • Direct secure messaging: nwinstead89878@directinfirmaryhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1184732976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 405",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322018",
            "telephone_number": "251-990-0360",
            "fax_number": "251-990-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 405",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322018",
            "telephone_number": "251-990-0360",
            "fax_number": "251-990-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "NATHANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD.025020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "25945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424986",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02428567",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.