NPIMap

Individual provider Active NPI

Nicholas James McQueen, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1336503028
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.36581 Issued in AL
Practice address
625 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-9666
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.36581 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

625 19TH St S
Birmingham, AL 35233-1900

Mailing address

101 E Brunson St
Ste 200
Enterprise, AL 36330-2500

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
I20190813003819 AL Practitioner - Internal Medicine 0042507998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Associates PCGroup PAC ID 3375574106, 11 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 200
Enterprise, AL 36330-2500
Phone 3343030266194

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Enterprise, AL, CCN 017013
  • Enhabit Home Health Home health agency, Dothan, AL, CCN 017053
  • Centerwell Home Health Home health agency, Geneva, AL, CCN 017048
  • Southeast Alabama Homecare Home health agency, Enterprise, AL, CCN 017016
  • Amedisys Home Health Home health agency, Dothan, AL, CCN 017159
  • Southerncare Greenville Hospice, Greenville, AL, CCN 011655
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Dale Medical Center Hospital, Ozark, AL, CCN 010021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Associates PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

101 E Brunson St
Ste 200
Enterprise, AL 36330
Phone (334) 303-0266

Interoperability endpoints

  • Direct secure messaging: nmcqueen@pma.gwaydirect.com

Organizations & group practices 1

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 10

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1336503028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "STE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.36581",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.