Edith Gubler McCreadie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23369 Issued in AL

Practice address

1155 Hillcrest Rd
Building B
Mobile, AL 36695-3921

Phone

(251) 776-6755

Fax

(251) 776-6854

NPI assigned

Sep 6, 2006

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Edith Gubler McCreadie, MD, LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1174672976
  Medicare reassignment NPD Authorized official

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

• USA Health HCA Providence Hospital LLC

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245333285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 HILLCREST RD",
            "address_2": "BUILDING B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-776-6755",
            "fax_number": "251-776-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HILLCREST RD",
            "address_2": "BUILDING B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-776-6755",
            "fax_number": "251-776-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREADIE",
        "first_name": "EDITH",
        "middle_name": "GUBLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51531014",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE (UNET)",
            "identifier": "1136560",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasgia McCorvey, RBT
• Amy McDuffie McCoy, MD
• Mia McCoy, APN
• Oyindamola McCracken, LPC
• Melissa H McCraw, M.S.OTR/L
• De'Arco Rashaun McCreary, M.D.
• James C McCulloch, ATC
• Margaret McCulloch
• Ashleigh Diane McCullough
• James Raymond McCullough, FNP

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.