Individual provider Active NPI

Richard Payne Dodd, M.D.

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1275755688
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28382 Issued in AL
Practice address
1701 Main Ave SW Ste a
Cullman, AL 35055-5385
Phone
(256) 737-0880
Fax
(256) 737-9191
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L-2791 AL
Family Medicine Physician 207Q00000X 28382 AL Primary

Addresses

Primary practice location

1701 Main Ave SW Ste a
Cullman, AL 35055-5385

Mailing address

1701 Main Ave SW Ste a
Cullman, AL 35055-5385
Phone (256) 737-0880

Other identifiers 3

IdentifierTypeStateIssuer
129297MedicaidAL
1275755688OtherALUNITED HEALTH CARE
51109140OtherALBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080422000655 AL Practitioner - Family Practice 2365520913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Center, LLCGroup PAC ID 5294622379, 4 clinicians

Practice addresses (Care Compare)

1701 Main Ave SW
Suite a
Cullman, AL 35055-5385
Phone (256) 737-0880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-2791ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, LLC CurrentSince Nov 27, 2010 Accepting new patients
Urgent Care Center, LLC CurrentSince May 6, 2011 Accepting new patients

Locations

1701 Main Ave SW
Ste A
Cullman, AL 35055
Phone (256) 737-0880

1635 Highway 31 NW
Ste C
Hartselle, AL 35640
Phone (256) 733-0110

1635 Highway 31 NW
Hartselle, AL 35640
Phone (256) 735-5965

Interoperability endpoints

  • Direct secure messaging: richard.dodd@direct.systemedx.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1275755688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555385",
            "telephone_number": "256-737-0880",
            "fax_number": "256-737-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555385",
            "telephone_number": "256-737-0880",
            "fax_number": "256-737-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "RICHARD",
        "middle_name": "PAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L-2791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "28382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129297",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1275755688",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51109140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.