Individual provider Active NPI

David Clayton Neely, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Merritt Island, FL
National Provider Identifier
1366708174
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME136871 Issued in FL
Practice address
280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491
Phone
(321) 735-8800
Fax
(321) 735-8898
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.32701 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME136871 FL Primary

Addresses

Primary practice location

280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491

Mailing address

700 18TH St S
Suite 601
Birmingham, AL 35233-1856

Other practice location 1

700 18th St S
Suite 601
Birmingham, AL 35233-1856
Phone (205) 325-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160725002031 AL Practitioner - Ophthalmology 1355581042 Reassigns benefits to 2 organizations
I20180709001064 FL Practitioner - Ophthalmology 1355581042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Retina Specialists, P.a.Group PAC ID 1557581766, 4 clinicians

Practice addresses (Care Compare)

280 N Sykes Creek Pkwy
Suite B
Merritt Island, FL 32953-3491
Phone (321) 735-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.32701ALMDOphthalmology Physician
ME136871FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Ophthalmology CurrentSince Dec 18, 2016 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology CurrentSince Jul 1, 2016 Accepting new patients
Uab Callahan Eye Hospital Authority Current Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

700 18th St S
Ste 707
Birmingham, AL 35233
Phone (205) 918-0047

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1366708174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 18TH ST S",
            "address_2": "SUITE 601",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N SYKES CREEK PKWY STE B",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533491",
            "telephone_number": "321-735-8800",
            "fax_number": "321-735-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 18th St S",
            "address_2": "Suite 601",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331856",
            "country_code": "US",
            "telephone_number": "205-325-8507",
            "fax_number": "205-325-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "DAVID",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.32701",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME136871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.