Individual provider Active NPI

Pranav Mishra, MD

  • Internal Medicine Physician
  • Albertville, AL
National Provider Identifier
1609800531
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17527 Issued in AL
Practice address
604 Smith Rd
Albertville, AL 35951-3412
Phone
(256) 891-1460
Fax
(256) 891-2640
NPI assigned
Jul 10, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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 17527 AL Primary

Addresses

Primary practice location

604 Smith Rd
Albertville, AL 35951-3412

Mailing address

PO Box 1397
Albertville, AL 35950-0023
Phone (256) 891-1460

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
I20051201000789 AL Practitioner - Internal MedicinePractitioner - General Practice 3476466244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Med Care of Jacksonville, P.C.Group PAC ID 0446270318, 7 clinicians
Doctors Med Care of Gadsden, P.C.Group PAC ID 7517870389, 9 clinicians
Doctors Med Care PCGroup PAC ID 1557314184, 6 clinicians

Practice addresses (Care Compare)

1505 Pelham Rd S
Suite 2
Jacksonville, AL 36265-3707
Phone (256) 435-7300

3206 W Meighan Blvd
Gadsden, AL 35904-1732
Phone (256) 547-2153

604 Smith Rd
Albertville, AL 35951-3412
Phone (256) 891-1460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17527ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Med Care PC CurrentSince Oct 31, 1997 Accepting new patients
Doctors Med Care of Fort Payne, P.C. CurrentSince Jan 17, 2006 Accepting new patients
Doctors Med Care of Jacksonville, P.C. CurrentSince Sep 1, 2005 Accepting new patients
Doctors Med Care of Gadsden, P.C. CurrentSince Jan 29, 1999 Accepting new patients
Doctors Med Care of E Gadsden, P.C. CurrentSince Mar 28, 2002 Accepting new patients
Southern Family Practice and Occupational Medicine, Inc. PastSince Sep 1, 2005 Accepting new patients

Locations

604 Smith Rd
Albertville, AL 35951
Phone (256) 891-1460

1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

3206 W Meighan Blvd
Gadsden, AL 35904
Phone (256) 547-2153

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265
Phone (256) 435-7300

Interoperability endpoints

  • Direct secure messaging: pranav.mishra@docmed.direct.medconnect-inc.com

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1609800531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1397",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500023",
            "telephone_number": "256-891-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SMITH RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513412",
            "telephone_number": "256-891-1460",
            "fax_number": "256-891-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "PRANAV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.