Individual provider Active NPI

Karen Ann Flanagan, D. O.

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1457324600
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO616 Issued in AL
Practice address
300 S. Twining St., BLDG 760
42D Medical Group
Montgomery, AL 36112
Phone
(334) 953-5143
Fax
(334) 953-8607
NPI assigned
Feb 8, 2006
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO616 AL Primary
Pediatrics Physician 208000000X DO616 AL

Addresses

Primary practice location

300 S. Twining St., BLDG 760
42D Medical Group
Montgomery, AL 36112

Mailing address

300 S. Twining St., BLDG 760
42D Medical Group
Montgomery, AL 36112
Phone (334) 953-5143

Other identifiers 1

IdentifierTypeStateIssuer
009902780MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051018000166 AL Practitioner - Family PracticePractitioner - Emergency Medicine 0244256451 Reassigns benefits to 1 organization
I20151223000532 TX Practitioner - Family Practice 0244256451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poarch Band of Creek IndiansGroup PAC ID 9830188085, 12 clinicians

Practice addresses (Care Compare)

5811 Jack Springs Rd
Atmore, AL 36502-5025

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO616ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Family Medicine Current Accepting new patients
Jackson Hospital and Clinic Inc. CurrentSince May 21, 2013 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince May 21, 2013 Accepting new patients
Brewton Medical Center, LLC Family Medicine Current Accepting new patients
D.W. McMillan Memorial Hospital Current Accepting new patients
Poarch Band of Creek Indians CurrentSince Nov 8, 2015 Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

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 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1457324600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. TWINING ST., BLDG 760",
            "address_2": "42D MEDICAL GROUP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-5143",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. TWINING ST., BLDG 760",
            "address_2": "42D MEDICAL GROUP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-5143",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO616",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009902780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.