NPIMap

Individual provider Active NPI

Darby Donovan Marshall, MD

  • Otolaryngology Physician
  • Scottsboro, AL
National Provider Identifier
1265432371
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.27011 Issued in AL
Practice address
406 Taylor St Ste B
Scottsboro, AL 35768-2406
Phone
(256) 574-6100
Fax
(256) 574-3004
NPI assigned
Jul 29, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD.27011 AL Primary

Addresses

Primary practice location

406 Taylor St Ste B
Scottsboro, AL 35768-2406

Mailing address

406 Taylor St Ste B
Scottsboro, AL 35768-2406
Phone (256) 574-6100

Other identifiers 2

IdentifierTypeStateIssuer
51531698OtherALBLUE CROSS FORT PAYNE
51002876OtherALBLUE CROSS SCOTTSBORO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000440 AL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5890760532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Virginia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Specialty CareGroup PAC ID 5991244378, 20 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.27011ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsboro ENT, PC Otolaryngology CurrentSince Jan 1, 2006 Accepting new patients
Dekalb Specialty Care CurrentSince Nov 1, 2024 Accepting new patients
South Carolina Sleep Medicine LLC Otolaryngology Past Accepting new patients
Summerville Sleep Consultants LLC PastSince May 5, 2003 Accepting new patients
Low Country ENT PA Otolaryngology PastSince Oct 1, 2008 Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

406 Taylor St
Ste B
Scottsboro, AL 35768
Phone (256) 574-6100

Interoperability endpoints

  • Direct secure messaging: darby.marshall.1@30893.direct.athenahealth.com
  • Direct secure messaging: dmarsh51@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265432371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 TAYLOR ST STE B",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682406",
            "telephone_number": "256-574-6100",
            "fax_number": "256-574-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 TAYLOR ST STE B",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682406",
            "telephone_number": "256-574-6100",
            "fax_number": "256-574-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DARBY",
        "middle_name": "DONOVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "MD.27011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FORT PAYNE",
            "identifier": "51531698",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SCOTTSBORO",
            "identifier": "51002876",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.