Individual provider Active NPI

William Ernest Tyndall, M.D.

  • Emergency Medicine Physician
  • Jacksonville, AL
National Provider Identifier
1508824764
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11265 Issued in AL
Practice address
1701 Pelham Rd S
Jacksonville, AL 36265-3353
Phone
(256) 413-1032
NPI assigned
May 3, 2006
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11265 AL Primary

Addresses

Primary practice location

1701 Pelham Rd S
Jacksonville, AL 36265-3353

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

600 S 3rd St
Gadsden, AL 35901-5304
Phone (256) 543-5390

Other identifiers 1

IdentifierTypeStateIssuer
051555689MedicaidAL

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
I20040113000250 AL Practitioner - Emergency MedicinePractitioner - General Surgery 5597665786 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erx-Bama, LLCGroup PAC ID 9931592946, 8 clinicians

Practice addresses (Care Compare)

83825 Hwy 9
Ashland, AL 36251-7981
Phone (866) 488-4558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11265ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Attentus Moulton, LLC Current Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Jul 13, 2024 Accepting new patients
Attentus Moulton, LLC CurrentSince Sep 6, 2022 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Aug 1, 2006 Accepting new patients
Clay County Healthcare Authority CurrentSince Nov 9, 2019 Accepting new patients
Attentus Moulton, LLC Current Accepting new patients
Geneva County Healthcare Authority, Inc. Emergency Medicine CurrentSince Jul 13, 2024 Accepting new patients
Attentus Moulton, LLC CurrentSince Sep 6, 2022 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Erx-Bama, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Geneva County Healthcare Authority Inc Past Accepting new patients
Jacksonville Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Geneva County Healthcare Authority, Inc. Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

40 Medical Cir
Moulton, AL 35650
Phone (256) 974-0606

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1508824764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653353",
            "telephone_number": "256-413-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359015304",
            "country_code": "US",
            "telephone_number": "256-543-5390",
            "fax_number": "256-543-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "WILLIAM",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "11265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555689",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.