Mohabe Anthony Vinson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

86576 Issued in GA

Practice address

4181 Hospital Dr NE Ste 303
Covington, GA 30014-2541

Phone

(770) 784-5540

NPI assigned

May 14, 2009

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Urology

Education

University of Cincinnati College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Alabama Physician Associates LLCGroup PAC ID 3476620311, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Alabama Physician Associates, LLC

  dba West Alabama Urology Associates

  • Urology Physician
  • Tuscaloosa, AL
  • NPI 1316101769
  Medicare reassignment Care Compare group NPD
• West Alabama Physician Associates, LLC

  dba SouthEastern Spine

  • Orthopaedic Surgery of the Spine Physician
  • Tuscaloosa, AL
  • NPI 1861377970
  NPD
• West Alabama Physician Associates LLC

  dba West Alabama Trauma Services

  • Trauma Surgery Physician
  • Tuscaloosa, AL
  • NPI 1114330008
  NPD (past)

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

• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1275767501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR",
            "address_2": "APT. 5002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323001",
            "telephone_number": "740-446-5415",
            "fax_number": "740-446-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-784-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11760 SW 40th St",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753582",
            "country_code": "US",
            "telephone_number": "305-226-2020",
            "fax_number": "305-226-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINSON",
        "first_name": "MOHABE",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.124359",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "86576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027938",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• View Point Health
• View Point Health
• Village Podiatry Group LLC
• Andre Villiers
• Jessica Hinton Vincent, DNP, ACNP-BC
• Waals Medical Suppy and Equipment
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4558)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0459)
• Wal-Mart Stores East LP (Wal-Mart Vision Center 30-4558)
• Wal-Mart Stores East, LP

• Urology Physician in Covington, GA
• Providers in Covington, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.