Individual provider Active NPI

Morgan Michaela McCoy, FNP-C

  • Internal Medicine Physician
  • Pell City, AL
National Provider Identifier
1487416020
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1-167164 Issued in AL
Practice address
41 Eminence Way Ste a
Pell City, AL 35128-2338
Phone
(205) 884-9000
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1-167164 AL Primary

Addresses

Primary practice location

41 Eminence Way Ste a
Pell City, AL 35128-2338

Mailing address

41 Eminence Way Ste a
Pell City, AL 35128-2338
Phone (205) 884-9000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711001720 AL Practitioner - Nurse Practitioner 3678018926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pell City Internal Medicine LLCGroup PAC ID 0648426825, 6 clinicians

Practice addresses (Care Compare)

41 Eminence Way
Suite a
Pell City, AL 35128-2338
Phone (205) 884-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pell City Internal Medicine LLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

41 Eminence Way
Ste A
Pell City, AL 35128
Phone (205) 206-4518

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1487416020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY STE A",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282338",
            "telephone_number": "205-884-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY STE A",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282338",
            "telephone_number": "205-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MORGAN",
        "middle_name": "MICHAELA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1-167164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.