Charles Michael Mead, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

00017189 Issued in AL

Practice address

502 Montgomery Hwy
Ste 101
Vestavia Hills, AL 35216-1863

Phone

(205) 823-0882

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cahaba Valley Imaging, LLCGroup PAC ID 0547305542, 8 clinicians

North Jefferson Imaging, LLCGroup PAC ID 3274555859, 13 clinicians

Shades Mountain Imaging PCGroup PAC ID 5496724957, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cahaba Valley Imaging, LLC

  • Diagnostic Radiology Physician
  • Pelham, AL
  • NPI 1215268446
  Medicare reassignment Care Compare group NPD Authorized official
• North Jefferson Imaging, LLC

  • Diagnostic Radiology Physician
  • Gardendale, AL
  • NPI 1467490920
  Medicare reassignment Care Compare group NPD Authorized official
• Shades Mountain Imaging PC

  • Diagnostic Radiology Physician
  • Vestavia Hills, AL
  • NPI 1033157185
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1205833761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MONTGOMERY HWY",
            "address_2": "STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161862",
            "telephone_number": "205-823-0882",
            "fax_number": "205-823-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MONTGOMERY HWY",
            "address_2": "STE 101",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161863",
            "telephone_number": "205-823-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00017189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555108",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GARDENDALE PHYSICIAN ASSOC.",
            "identifier": "051531044",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - NORTH JEFFERSON IMAGING, LLC",
            "identifier": "051531585",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - HORIZON IMAGING, PC",
            "identifier": "051540087",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51524439",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine McDonald, PHARMACIST
• Conor McGowan, LMFT-A
• Leigh McKay, LPC
• Mary McKinney, OTR
• Larry C McSwain, LICENSED COUNSELOR
• Megan Brister Nutrition, LLC
• Melissa Beaird
• Melissa Beaird
• Alexandra Metropol, MSP, CCC-SLP
• Andrew Meythaler, AU.D.

• Diagnostic Radiology Physician in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.