Individual provider Active NPI

Thomas Cookson Myers, M.D.

  • Rheumatology Physician
  • Mobile, AL
National Provider Identifier
1417963471
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00006296 Issued in AL
Practice address
75 S University Blvd
Mobile, AL 36608-3271
Phone
(251) 660-5787
Fax
(251) 460-7923
NPI assigned
Jul 31, 2006
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 00006296 AL Primary

Addresses

Primary practice location

75 S University Blvd
Mobile, AL 36608-3271

Mailing address

6701 Airport Blvd Ste A101
Mobile, AL 36608-6767
Phone (251) 633-8880

Other identifiers 1

IdentifierTypeStateIssuer
000093365MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000318 AL Practitioner - Rheumatology 7810028305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Mississippi School of Medicine, 1992
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)

6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6296ALMDDentist
00006296ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Aug 1, 2017 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

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

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

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

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

75 S University Blvd
Mobile, AL 36608
Phone (251) 471-7870

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

75 S University Blvd
Ste 6500
Mobile, AL 36608
Phone (251) 660-5787

Interoperability endpoints

  • Direct secure messaging: thomas.myers.1@16253.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1417963471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-633-8880",
            "fax_number": "251-378-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083271",
            "telephone_number": "251-660-5787",
            "fax_number": "251-460-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "THOMAS",
        "middle_name": "COOKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00006296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093365",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.