Marilyn Joy Hepperle, M.D, FRCP

Primary specialty

SpecialistTaxonomy code 174400000X

License

20750 Issued in AL

Practice address

645 McQueen Smith Rd N
Suit 302
Prattville, AL 36066-7268

Phone

(334) 361-7404

Fax

(334) 361-7863

NPI assigned

Jan 9, 2007

Sex

Female

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

Internal MedicineAlso: Pulmonary Disease

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Care Associates PrattvilleGroup PAC ID 9931450772, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Troy, AL, CCN 017324
• Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medical Care Associates Prattville

  • Internal Medicine Physician
  • Prattville, AL
  • NPI 1588178735
  Medicare reassignment Care Compare group
• Medical Care Associates Prattville

  • Home Health Agency
  • Prattville, AL
  • NPI 1780370643
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Alabama, LLC

  • Home Health Agency
  • Montgomery, AL
  • NPI 1174581474
  Care Compare affiliation
• Eh Health Home Health of Alabama, LLC

  • Home Health Agency
  • Troy, AL
  • NPI 1366904161
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1215086111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "address_2": "SUIT 302",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-361-7404",
            "fax_number": "334-361-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "address_2": "SUIT 302",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-361-7404",
            "fax_number": "334-361-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPERLE",
        "first_name": "MARILYN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "M.D, FRCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "20750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582326526",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUESHEILD",
            "identifier": "051038657HEP",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110155714",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HE000038657",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038657",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4-10195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HCC Health Solutions Inc.
• Amber Headley, HIS
• Healing Touch Family Care, LLC
• Health Care Authority for Baptist Health, an Affiliate of Uabhs
• Health Star Inc
• Andrea Revae Herrington, BCBA
• Deborah H. Hethcox, R.PH.
• Cayla C Hicks, PHARM.D.
• Donald Jimmy Ho
• Matthew David Holley, D.M.D.

• Specialist in Prattville, AL
• Providers in Prattville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.