Individual provider Active NPI

Megan E Missanelli, M.D.

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
National Provider Identifier
1336534262
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35907 Issued in AL
Practice address
2 Medical Park Dr
Fairhope, AL 36532-2083
Phone
(251) 990-6550
NPI assigned
Mar 30, 2015
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35907 AL Primary

Addresses

Primary practice location

2 Medical Park Dr
Fairhope, AL 36532-2083

Mailing address

2 Medical Park Dr
Fairhope, AL 36532-2083
Phone (251) 990-6550

Other practice location 1

150 S Ingleside St Ste 2
Fairhope, AL 36532-1804
Phone (251) 990-6550

Other identifiers 1

IdentifierTypeStateIssuer
235746MedicaidAL

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
I20190812001562 AL Practitioner - Obstetrics/Gynecology 1557651973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diegmann and Henderson OBGYN PCGroup PAC ID 9032110770, 6 clinicians

Practice addresses (Care Compare)

150 S Ingleside St
Suite 2
Fairhope, AL 36532-1804
Phone (251) 990-6550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35907ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince May 1, 2025 Accepting new patients
Diegmann and Henderson OBGYN PC Obstetrics & Gynecology CurrentSince Aug 1, 2019 Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. Past Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

150 S Ingleside St
#2
Fairhope, AL 36532
Phone (251) 990-6550

2 Medical Park
Fairhope, AL 36532

2 Medical Park Dr
Fairhope, AL 36532
Phone (251) 990-6550

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: megan.missanelli.1@25555.direct.athenahealth.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 1

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1336534262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Ingleside St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321804",
            "country_code": "US",
            "telephone_number": "251-990-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSANELLI",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "35907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235746",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.