Mowa Band of Choctaw Indians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOWA BAND OF CHOCTAW INDIANS

Doing business as

Mowa Choctaw Tribal Clinic

Practice address

1080 Red Fox Rd W
Mount Vernon, AL 36560-2629

Phone

(251) 829-9023

Fax

(855) 933-1195

NPI assigned

Mar 8, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lebaron Byrd

Title

Chief

Phone

(251) 786-0829

Specialties & licenses 1

Addresses

Other names 1

• MOWA CHOCTAW TRIBAL CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rahel Aziz, MD

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1902354277
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1336907948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 RED FOX RD W",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365602629",
            "telephone_number": "251-786-0829",
            "fax_number": "855-933-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 RED FOX RD W",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365602629",
            "telephone_number": "251-829-9023",
            "fax_number": "855-933-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWA BAND OF CHOCTAW INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "LEBARON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "251-786-0829"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOWA CHOCTAW TRIBAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McConaghy Drug , Inc (Mount Vernon Pharmacy)
• Joanna McCraney, PH.D.
• Mobile County Board of Health (Mt. Vernon Clinic)
• Mobile County Board of Health
• Mobile County Board of Health (Calcedeaver Clinic)
• Katherine Newberry, LCSW
• Leah Cheyenne Norman, CNA
• Robert D Oatsvall, PHD
• Barbara Jean Odum, LCSW
• Elmo Dodd Ozment Jr., MD

• Family Medicine Physician in Mount Vernon, AL
• Providers in Mount Vernon, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.