Individual provider Active NPI

Roy Willis Miner Jr., M.D.

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1295937654
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42129 Issued in AL
Practice address
400 Taylor Rd
Montgomery, AL 36117-3512
Phone
(334) 747-8448
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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 01064362A IN
Emergency Medicine Physician 207P00000X 42129 AL Primary

Addresses

Primary practice location

400 Taylor Rd
Montgomery, AL 36117-3512

Mailing address

PO Box 3395
Evansville, IN 47732-3395

Other identifiers 5

IdentifierTypeStateIssuer
200877220MedicaidIN
9189395OtherINAETNA
50028039OtherKYKY PASSPORT
621882OtherINANTHEM
7100077120MedicaidKY

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
I20210212001720 AL Practitioner - Emergency Medicine 7719076637 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42129ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Nov 8, 2024 Accepting new patients
USA Health Physician Billing Services LLC Emergency Medicine CurrentSince Nov 18, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Nov 18, 2023 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince Jun 28, 2023 Accepting new patients
Emergency Physicians of Delaware County, P.C. Emergency Medicine Past Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 7

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.

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1295937654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173512",
            "telephone_number": "334-747-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "ROY",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064362A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "42129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200877220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9189395",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY PASSPORT",
            "identifier": "50028039",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "621882",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100077120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.