Individual provider Active NPI

Mary Katherine Leonard Thrower, M.D.

  • Psychiatry Physician
  • Cullman, AL
National Provider Identifier
1578973954
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35023 Issued in AL
Practice address
101 2ND Ave SE
Cullman, AL 35055
Phone
(256) 739-4910
Fax
(256) 739-9455
NPI assigned
May 6, 2014
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35023 AL Primary

Addresses

Primary practice location

101 2ND Ave SE
Cullman, AL 35055

Mailing address

417 3Rd Ave SW Ste 275
Cullman, AL 35055-1921
Phone (256) 297-3215

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
I20180910002460 AL Practitioner - Psychiatry 4385931450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provision 2, LLCGroup PAC ID 5799162129, 2 clinicians
Cullman Psychiatry and Wellness LLCGroup PAC ID 2860844123, 4 clinicians

Practice addresses (Care Compare)

210 Main Ave SW
Cullman, AL 35055-3346
Phone (256) 735-9475

308 Graham St SW
Cullman, AL 35055-5238
Phone 25629732154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35023ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provision 2, LLC Psychiatry CurrentSince Feb 1, 2022 Accepting new patients
Cullman Psychiatry & Wellness, LLC Psychiatry CurrentSince Dec 11, 2023 Accepting new patients

Locations

210 Main Ave SW
Cullman, AL 35055
Phone (256) 339-9979

308 Graham St SW
Cullman, AL 35055
Phone (256) 297-3215

417 3rd Ave SW
Ste 275
Cullman, AL 35055
Phone (256) 297-3215

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1578973954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 3RD AVE SW STE 275",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-297-3215",
            "fax_number": "256-297-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-739-4910",
            "fax_number": "256-739-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROWER",
        "first_name": "MARY KATHERINE",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "35023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.