Active NPI
Cecil Lawrence Ennis, M.D.
- Rehabilitation Practitioner
- Fairhope, AL
National Provider Identifier
1407044829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 7000
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 928-2375
- NPI assigned
- Oct 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 7000 | AL | Primary |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
750 Morphy Avenue
Fairhope, Al 36523, AL 36532
Phone (251) 928-2375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | AL | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1407044829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MORPHY AVENUE",
"city": "FAIRHOPE, AL 36523",
"state": "AL",
"postal_code": "36532",
"telephone_number": "251-928-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-928-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "CECIL",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "AL",
"license": "7000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.