NPIMap

Individual provider Active NPI

Thomas Gregory McKelvey, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1306844394
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00018426 Issued in AL
Practice address
3715 Dauphin St
Suite 7a
Mobile, AL 36608-1771
Phone
(251) 410-4001
Fax
(251) 410-4002
NPI assigned
Jul 13, 2005
Last updated
May 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00018426 AL Primary

Addresses

Primary practice location

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1771

Mailing address

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1771
Phone (251) 410-4001

Other identifiers 3

IdentifierTypeStateIssuer
009992795MedicaidAL
511-76004OtherALBLUE CROSS
0410076OtherALUNITED HEALTHCARE

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
I20040304001079 AL Practitioner - Internal Medicine 3072401819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 A Cody Rd S
Mobile, AL 36695-3425
Phone (251) 340-7942

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1775
Phone (251) 410-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18426ALMDPharmacist
00018426ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Physician Practices, Inc CurrentSince May 2, 2016 Accepting new patients
Springhill Physician Practices, Inc CurrentSince May 2, 2016 Accepting new patients
Springhill Physician Practices, Inc. Past Accepting new patients
Advanced Wound Care and Limb Preservation, LLC PastSince Nov 11, 2012 Accepting new patients

Locations

1000A Cody Rd S
Mobile, AL 36695
Phone (251) 340-7942

3632 Dauphin St
Ste 101B
Mobile, AL 36608
Phone (251) 460-5280

3715 Dauphin St
Ste 7A
Mobile, AL 36608
Phone (251) 410-4001

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73098
  • Direct secure messaging: tmckelvey@springhillphy.directbygreenway.com

Organizations & group practices 4

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 11

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1306844394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 7A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-410-4001",
            "fax_number": "251-410-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 7A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-410-4001",
            "fax_number": "251-410-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00018426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009992795",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-76004",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0410076",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.