NPIMap

Individual provider Active NPI

Angela A Powell, MD

  • Family Medicine Physician
  • Monroeville, AL
National Provider Identifier
1265478663
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18298 Issued in AL
Practice address
1075 Drewry Rd
Ste B
Monroeville, AL 36460-2839
Phone
(251) 575-5988
Fax
(251) 575-5970
NPI assigned
Jun 22, 2006
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18298 AL Primary

Addresses

Primary practice location

1075 Drewry Rd
Ste B
Monroeville, AL 36460-2839

Mailing address

1075 Drewry Rd
Suite B
Monroeville, AL 36460-2840
Phone (251) 575-5988

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
I20061031000383 AL Practitioner - Family Practice 6305843558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice-Monroeville Inc.Group PAC ID 2860499019, 2 clinicians
Transitional Care LLCGroup PAC ID 6709146285, 14 clinicians

Practice addresses (Care Compare)

1075 Drewry Rd
Suite B
Monroeville, AL 36460-2839
Phone (251) 575-5988

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1367

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18298ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Manor Nursing Home LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Primary Care Center of MonroevilleMonroeville, AL, CCN 018922 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee		 Sep 27, 2006
Sep 27, 2006
Sep 27, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Practice-Monroeville Inc

    dba Primary Care Center of Monroeville

    • Clinic/Center
    • Monroeville, AL
    • NPI 1972606531

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership

Organizations & group practices 3

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 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1265478663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 DREWRY RD",
            "address_2": "SUITE B",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602840",
            "telephone_number": "251-575-5988",
            "fax_number": "251-575-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 DREWRY RD",
            "address_2": "STE B",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602839",
            "telephone_number": "251-575-5988",
            "fax_number": "251-575-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANGELA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.