Active NPI
Keva Wontoria Collier, M.D
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1356585301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L.3786R
- Practice address
- 2889 Sollie Rd
1321
Mobile, AL 36695-5532 - Phone
- (919) 423-7883
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L.3786R | AL | Primary |
Addresses
Primary practice location
2889 Sollie Rd
1321
Mobile, AL 36695-5532
Mailing address
2889 Sollie Rd
1321
Mobile, AL 36695-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.3786R | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1356585301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2889 SOLLIE RD",
"address_2": "1321",
"city": "MOBILE",
"state": "AL",
"postal_code": "366955532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2889 SOLLIE RD",
"address_2": "1321",
"city": "MOBILE",
"state": "AL",
"postal_code": "366955532",
"telephone_number": "919-423-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "KEVA",
"middle_name": "WONTORIA",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "L.3786R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.