Mary Diane Collier, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

190 Issued in AL

Practice address

204 Luds Way
Dothan, AL 36303-6350

Phone

(334) 678-7036

Fax

(334) 702-4208

NPI assigned

Nov 7, 2005

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 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Alabama South Family Podiatry P C

  • Podiatrist
  • Dothan, AL
  • NPI 1932114428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1225019375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LUDS WAY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036350",
            "telephone_number": "334-678-7036",
            "fax_number": "334-702-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LUDS WAY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036350",
            "telephone_number": "334-678-7036",
            "fax_number": "334-702-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MARY",
        "middle_name": "DIANE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77827",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC, PALMETTO GOVERNMEN",
            "identifier": "1281950001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig L. Coe, MD
• Mechill Coel, LMFT-A
• Cogito Mental Health Services, LLC
• Charity Lee Cole
• Meghan Cole, NP
• Megan R Collins, CRNA
• Lisa Colvin, CRNP/PMHNP
• Comfort Dental Care of Dothan LLC (Alabama Comfort Dental of Dothan)
• Comfort Dental of Dothan LLC
• Community Care Solutions

• Podiatrist in Dothan, AL
• Providers in Dothan, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.