Active NPI
Michael Wayne Peters, M.D.
- Family Medicine Physician
- Albertville, AL
National Provider Identifier
1477501906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7348
- Practice address
- 5104 US Highway 431
Albertville, AL 35950-0237 - Phone
- (256) 878-8180
- Fax
- (256) 891-3693
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7348 | AL | Primary |
Addresses
Primary practice location
5104 US Highway 431
Albertville, AL 35950-0237
Mailing address
5104 US Highway 431
Albertville, AL 35950-0237
Phone (256) 878-8180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000004958 | Medicaid | AL | |
| 051004958 | Other | AL | BLUE CROSS BLUE SHIELD |
| 000004958 | Other | AL | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5104 US Hwy 431
Albertville, AL 35950-0237
Phone (256) 878-8184
Hospital & facility affiliations
- Enhabit Home Health
- Medical Centers Homecare
- Centerwell Home Health
- Marshall Medical Centers
- Huntsville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 409 |
| Removal of skin lesions | 67 |
| Removal of nail tissue | 23 |
| Removal or shaving of skin growth | 80 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Mountain Family Practice Center, P. C. | Family Medicine | Current | Accepting new patients |
Locations
5104 US Highway 431
Albertville, AL 35950
Phone (256) 878-8180
Networks
- bcbs alabama network 01A0
- bcbs alabama network 01E0
- bcbs alabama network 01C0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
- bcbs alabama network 01H0
Interoperability endpoints
- https://api.platform.athenahealth.com/19522/brand/1/csg/1/fhir/r4
- michael.peters.sandmountainfamilypractice@smfp.direct.systemedx.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Albertville, AL
- NPI 1255349346
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hoover, AL
- NPI 1629539077
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
-
- Home Health Agency
- Albertville, AL
- NPI 1568645836
-
- Home Health Agency
- Rainbow City, AL
- NPI 1740219591
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1477501906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 US HIGHWAY 431",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359500237",
"telephone_number": "256-878-8180",
"fax_number": "256-891-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 US HIGHWAY 431",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359500237",
"telephone_number": "256-878-8180",
"fax_number": "256-891-3693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "7348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000004958",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051004958",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000004958",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.