Individual provider Active NPI

Joseph P Walsh, M.D.

  • Family Medicine Physician
  • Elberta, AL
National Provider Identifier
1376523753
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00026120 Issued in AL
Practice address
24980 State St
PO Drawer 519
Elberta, AL 36530-2573
Phone
(251) 986-7301
Fax
(251) 986-5927
NPI assigned
Jan 20, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00026120 AL Primary

Addresses

Primary practice location

24980 State St
PO Drawer 519
Elberta, AL 36530-2573

Mailing address

24980 State St
PO Drawer 519
Elberta, AL 36530-2573
Phone (251) 986-7301

Other identifiers 6

IdentifierTypeStateIssuer
7927626OtherALAETNA
51523750OtherALBCBS-AL
51523750MedicaidAL
I16057OtherALHEALTHSPRINGS OF ALABAMA
0101652OtherALUNITED HEALTHCARE
P00165718OtherALRAILROAD MEDICARE

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
I20040922000853 AL Practitioner - Family Practice 8022086537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Health Alabama LLCGroup PAC ID 9537521182, 9 clinicians

Practice addresses (Care Compare)

3980 Airport Blvd
Suite I
Mobile, AL 36608-2224
Phone (251) 214-0908

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026120ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Alabama LLC CurrentSince Aug 1, 2024 Accepting new patients
Elberta Clinic, PC Family Medicine CurrentSince Jul 15, 2004 Accepting new patients

Locations

24980 State St
Elberta, AL 36530
Phone (251) 201-7667

2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689

3980 Airport Blvd
#I
Mobile, AL 36608
Phone (251) 214-0908

Interoperability endpoints

  • Direct secure messaging: joseph.walsh.1@27478.direct.athenahealth.com

Organizations & group practices 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1376523753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "address_2": "PO DRAWER 519",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "address_2": "PO DRAWER 519",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7927626",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL",
            "identifier": "51523750",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51523750",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF ALABAMA",
            "identifier": "I16057",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101652",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165718",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberta, AL

Sources for this page

Verify at the official NPI Registry.