Michael G Connolly Jr., MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

16393 Issued in AL

Practice address

2030 Lay Dam Rd
Clanton, AL 35045-8344

Phone

(205) 258-4424

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Pulmonary Disease

Education

Boston University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mconnolly@pmapc.gwaydirect.com
• Direct secure messaging: mconnolly4472@baptisthealthaldirect.org
• Direct secure messaging: michael.connolly.jr.1@17217.direct.athenahealth.com
• Direct secure messaging: michael.connolly.1@9069.direct.athenahealth.com

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.

• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310

  AL

  Medicare reassignment Care Compare group NPD
• Med Help 280 LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1174681654

  AL

  Medicare reassignment NPD
• Medhelp Shelby, LLC

  • Family Medicine Physician
  • Pelham, AL
  • NPI 1053832089

  AL

  Medicare reassignment NPD
• Med Help PC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1083772560

  AL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Vincents Chilton LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Clanton, AL
  • NPI 1013365824

  Hospital

  Care Compare affiliation
• St Vincents Chilton LLC

  • General Acute Care Hospital
  • Clanton, AL
  • NPI 1093171860

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1669423554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST STREET NORTH",
            "address_2": "SUITE 401",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "35007",
            "telephone_number": "205-664-5935",
            "fax_number": "205-664-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-258-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "16393",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AL",
            "license": "16393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027899",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027902",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027901",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Clark, LICSW
• Tiffany L Clayton, DPT
• Clinic W LLC
• Adrianne Cofer, NCC, ALC
• Courtney George Connell
• Brenda Liles Conradi, R.PH.
• Cornerstone Fitness and Wellness
• Covenant Company Chilton
• Hobson Lewis Curry Jr., RPH
• Amanda F Davis, PT

• All providers in Clanton, AL
• Sleep Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.