Active NPI
Karen Ann Flanagan, D. O.
- Family Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO616
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009902780 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO616 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Jackson Hospital and Clinic Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current | 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 | Current | 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
- 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.
-
dba Poarch Creek Indian Health Department
- Federally Qualified Health Center (FQHC)
- Atmore, AL
- NPI 1902916489
TX
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
Family Medicine
-
- Family Medicine Physician
- Brewton, AL
- NPI 1336196856
-
dba D W McMillan Medical Center
- Multi-Specialty Clinic/Center
- Brewton, AL
- NPI 1679196927
-
dba Jackson Pelvic Floor Therapy
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
dba Jackson Clinic Cardiology Suite 402
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1194261669
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atmore Community Hospital
- Rural Acute Care Hospital
- Atmore, AL
- NPI 1124073879
-
dba North Baldwin Family Medicine
- Family Medicine Physician
- Bay Minette, AL
- NPI 1154703726
Hospital
-
dba North Baldwin Infirmary
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
dba Premier Women's Health
- Gynecology Physician
- Bay Minette, AL
- NPI 1760717870
Hospital
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.