Individual provider Active NPI

Madeline Fay Ferrell, M.D., PH.D.

  • Psychiatry Physician
  • Dothan, AL
National Provider Identifier
1417020322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19045 Issued in AL
Practice address
114 E Troy St
Dothan, AL 36303-4844
Phone
(334) 671-5577
Fax
(334) 673-7247
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19045 AL Primary

Addresses

Primary practice location

114 E Troy St
Dothan, AL 36303-4844

Mailing address

114 E Troy St
Dothan, AL 36303-4844
Phone (334) 671-5577

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
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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19045ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Ferrell, M.D., PH.D., LLC Psychiatry Past Accepting new patients
Spectracare Integrated Services LLC PastSince Oct 15, 2019 Accepting new patients
St. Francis Psychiatrist ,LLC Psychiatry Past Accepting new patients
Spectracare Health Systems, Inc. PastSince Nov 11, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417020322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E TROY ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034844",
            "telephone_number": "334-671-5577",
            "fax_number": "334-673-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E TROY ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034844",
            "telephone_number": "334-671-5577",
            "fax_number": "334-673-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "MADELINE",
        "middle_name": "FAY",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "19045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.