Grover Ashton Wells III, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23300 Issued in AL

Practice address

125 Medical Park Dr
Suite 106
Andalusia, AL 36420-5316

Phone

(334) 222-4191

Fax

(334) 222-9069

NPI assigned

May 31, 2006

Last updated

May 20, 2008By the provider in NPPES

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 3

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

General Surgery

Education

University of Alabama School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andalusia Physician Practices LLCGroup PAC ID 7315043007, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashton__wells_-_md@yourcarecommunity.org
• Direct secure messaging: grover.wells.1@19364.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

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.

• Andalusia Physician Practices LLC

  dba Andalusia Neurology

  • Neurology Physician
  • Andalusia, AL
  • NPI 1437202009
  Medicare reassignment Care Compare group NPD
• Andalusia Physician Practices LLC

  dba Andalusia Orthopedics

  • Orthopaedic Surgery Physician
  • Andalusia, AL
  • NPI 1306131834
  NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Rural Health Clinic/Center
  • Andalusia, AL
  • NPI 1417663576
  NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1972870335
  NPD (past)

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

• Community Hospital of Andalusia LLC

  dba Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1215974233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201202",
            "telephone_number": "334-222-4191",
            "fax_number": "334-222-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK DR",
            "address_2": "SUITE 106",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205316",
            "telephone_number": "334-222-4191",
            "fax_number": "334-222-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "GROVER",
        "middle_name": "ASHTON",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "23300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51097094",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009926920",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51094943",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Walsh, DPT
• Allen McCreary Ward, DMD
• Jon D Ward
• Kimberly Thomas Ward, DMD, MPH, MS
• Jennifer Holland Wayer, DMD
• Michael A. Wells, M.D.
• Miranda Patterson Wiggins, CRNP
• Pamela Denise Wilkerson
• William M Davidson PC
• Sheila D Williams, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.