Melissa Deberry LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MELISSA DEBERRY LLC

Practice address

180 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9274

Phone

(256) 585-3961

Fax

(256) 585-3971

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Deberry, MD

Title

Owner/MD

Phone

(256) 585-3961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1649782913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 WILLOW CREEK DR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639157",
            "telephone_number": "256-585-3961",
            "fax_number": "256-585-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OLD HIGHWAY 431 STE C",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639274",
            "telephone_number": "256-585-3961",
            "fax_number": "256-585-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DEBERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "256-585-3961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lewis, CCC-SLP
• Kay E Long, RPH
• Leah G Lucas, LCSW, PIP
• William Charles Lusk
• Monica Rene McGraw, DPT
• Alyson Williams Miller, NCSP
• Karla Jacobs Minor, RPH
• Jane Elizabeth Mitchell, LACTATION CONSULTANT
• Jessica Mixon
• Todd David Morgan, O.D.

• All providers in Owens Cross Roads, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.