Individual provider Active NPI

Lynne Ann McDonnell, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1538172879
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22831 Issued in AL
Practice address
2451 Fillingim St
Mobile, AL 36617-2293
Phone
(251) 470-1649
Fax
(251) 471-7096
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22831 AL
Internal Medicine Physician 207R00000X 22831 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Mobile, AL 36617-2293

Mailing address

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 445-7618

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
I20111110000808 AL Practitioner - Pediatric Medicine 0749454684 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Gmuc of Citronelle LLCGroup PAC ID 8426210014, 11 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

19355 N 3Rd St
Citronelle, AL 36522-2049
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22831ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Springhill LLC CurrentSince Jun 12, 2014 Accepting new patients
University of South Alabama Internal Medicine Current Accepting new patients
University of South Alabama CurrentSince Jul 1, 2002 Accepting new patients
Greater Mobile Urgent Care Current Accepting new patients
Greater Mobile Urgent Care CurrentSince Jun 1, 2014 Accepting new patients
Gmuc of Citronelle LLC CurrentSince Jun 1, 2014 Accepting new patients
Gmuc of Saraland CurrentSince Jul 1, 2014 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1538172879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7943 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755409",
            "telephone_number": "251-445-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172293",
            "telephone_number": "251-470-1649",
            "fax_number": "251-471-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "LYNNE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "22831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.