NPIMap

Individual provider Active NPI

Mark A. McDaniel, MD

  • Family Medicine Physician
  • Saraland, AL
National Provider Identifier
1518997014
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12136 Issued in AL
Practice address
960 Industrial Pkwy Ste B
Saraland, AL 36571-3746
Phone
(251) 414-5900
Fax
(251) 445-8859
NPI assigned
Jul 3, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12136 AL Primary

Addresses

Primary practice location

960 Industrial Pkwy Ste B
Saraland, AL 36571-3746

Mailing address

960 Industrial Pkwy Ste B
Saraland, AL 36571-3746
Phone (251) 414-5900

Other identifiers 2

IdentifierTypeStateIssuer
051510363MedicaidAL
K961OtherMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000627 AL Practitioner - Family Practice 4284630690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Medical Group PCGroup PAC ID 6709152499, 42 clinicians

Practice addresses (Care Compare)

101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1787
Phone (251) 414-5900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12136ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Center Current Accepting new patients
Alabama Medical Group, PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

960 Industrial Pkwy
Ste B
Saraland, AL 36571
Phone (251) 414-5900

Interoperability endpoints

  • Direct secure messaging: markmcdaniel@amgmd.allscriptsdirect.net

Organizations & group practices 2

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 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1518997014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 INDUSTRIAL PKWY STE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713746",
            "telephone_number": "251-414-5900",
            "fax_number": "251-445-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 INDUSTRIAL PKWY STE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713746",
            "telephone_number": "251-414-5900",
            "fax_number": "251-445-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051510363",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

Verify at the official NPI Registry.