Individual provider Active NPI

Tracy Alan Lowery, M.D.

  • Vascular Surgery Physician
  • Huntsville, AL
National Provider Identifier
1376590174
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
00016783 Issued in AL
Practice address
185 Whitesport Dr SW
Suite 2
Huntsville, AL 35801-6486
Phone
(256) 429-5346
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 00016783 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW
Suite 2
Huntsville, AL 35801-6486

Mailing address

185 Whitesport Dr SW
Suite 2
Huntsville, AL 35801-6486
Phone (256) 429-5346

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
I20050124001077 AL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Family Practice 2466402805 Reassigns benefits to 1 organization
I20170126002735 FL Practitioner - Vascular Surgery 2466402805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Family Practice
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Vein Care of Huntsville, LLCGroup PAC ID 1355691494, 10 clinicians

Practice addresses (Care Compare)

2010 S Point Park Cir
Apt 170
Huntsville, AL 35801-5480
Phone (256) 715-7151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00016783ALMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Vein Care of Huntsville, LLC Vascular Surgery CurrentSince Oct 10, 2018 Accepting new patients
Nautilus Health Care Group LLC CurrentSince Dec 10, 2016 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Dec 10, 2016 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Physician Professional Fee Component Past Accepting new patients

Locations

2010 S Point Park Cir
Apt 170
Huntsville, AL 35801
Phone (256) 715-7151

185 Whitesport Dr SW
Ste 2
Huntsville, AL 35801
Phone (256) 429-5037

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1376590174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-429-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-429-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "TRACY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "00016783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.