NPIMap

Individual provider Active NPI

Michael Edward Anderson, M.D.

  • Psychiatry Physician
  • Homewood, AL
National Provider Identifier
1376861658
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31808 Issued in AL
Practice address
1672 Lakeshore CT Apt C
Homewood, AL 35209-7129
Phone
(478) 714-6398
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 31808 AL Primary

Addresses

Primary practice location

1672 Lakeshore CT Apt C
Homewood, AL 35209-7129

Mailing address

1672 Lakeshore CT Apt C
Homewood, AL 35209-7129
Phone (478) 714-6398

Other practice location 1

635 W College St
Florence, AL 35630-5313
Phone (256) 764-3431 ext. 319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301001359 AL Practitioner - Psychiatry 8224283536 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston County Healthcare AuthorityGroup PAC ID 9436062296, 256 clinicians
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians
Riverbend Center for Mental HealthGroup PAC ID 6507821048, 15 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

619 19TH St S
CPMC 409
Birmingham, AL 35249-0018
Phone (205) 602-5256

635 College St W
Florence, AL 35631-5313
Phone (256) 764-3431

Hospital & facility affiliations

  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31808ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcore Associates, PLLC Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
University of Alabama at Birmingham Psychiatry CurrentSince May 30, 2024 Accepting new patients
Houston County Healthcare Authority Psychiatry CurrentSince Jun 18, 2023 Accepting new patients
Riverbend Center for Mental Health CurrentSince Apr 24, 2023 Accepting new patients
Psychiatry South, Inc. Psychiatry CurrentSince Mar 1, 2015 Accepting new patients
University of Alabama at Birmingham CurrentSince May 30, 2024 Accepting new patients
Houston County Healthcare Authority Past Accepting new patients

Locations

619 19th St S
#409
Birmingham, AL 35249
Phone (205) 602-5256

619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

635 W College St
Florence, AL 35630
Phone (256) 764-3431

3000 Southlake Park
Ste 100
Hoover, AL 35244
Phone (205) 987-0724

205 Jackson Ave S
Russellville, AL 35653
Phone (256) 332-3971

Organizations & group practices 17

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.

View all 17

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1376861658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 LAKESHORE CT APT C",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097129",
            "telephone_number": "478-714-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 LAKESHORE CT APT C",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097129",
            "telephone_number": "478-714-6398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W College St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356305313",
            "country_code": "US",
            "telephone_number": "256-764-3431 x319",
            "fax_number": "256-765-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "31808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.