NPIMap

Individual provider Active NPI

Judson K Menefee, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairhope, AL
National Provider Identifier
1407957046
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
00011600 Issued in AL
Practice address
3 Medical Park Drive
Fairhope, AL 36532
Phone
(251) 928-8804
Fax
(251) 990-9379
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 00011600 AL Primary

Addresses

Primary practice location

3 Medical Park Drive
Fairhope, AL 36532

Mailing address

101 Memorial Hospital Dr 200
Mobile, AL 36608-1787
Phone (251) 414-5900

Other identifiers 1

IdentifierTypeStateIssuer
05151069UMedicaidAL

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
I20100805000152 AL Practitioner - Endocrinology 9234262676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Texas Southwestern Medical School at Dallas, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

75 S University Blvd
Suite 6000 a
Mobile, AL 36608-3271
Phone (251) 660-5787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00011600ALMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Jul 22, 2019 Accepting new patients
USA Health Community Providers LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2024 Accepting new patients
Eastern Shore Medical Specialists, LLC Current Accepting new patients
Alabama Medical Group, PC CurrentSince Jul 12, 2017 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Past Accepting new patients
Lane Medical Group Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Interoperability endpoints

  • Direct secure messaging: judson.menefee.1@17993.direct.athenahealth.com
  • Direct secure messaging: judson.menefee.1@16253.direct.athenahealth.com
  • Direct secure messaging: judsonmenefee@amgmd.allscriptsdirect.net

Organizations & group practices 6

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 7

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1407957046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5900",
            "fax_number": "251-281-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEFEE",
        "first_name": "JUDSON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "00011600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05151069U",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.