NPIMap

Individual provider Active NPI

Larry W Epperson, MD

  • Neurology Physician
  • Montgomery, AL
National Provider Identifier
1669469888
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
AL12335 Issued in AL
Practice address
1722 Pine St
Suite 700
Montgomery, AL 36106-1103
Phone
(334) 834-1300
Fax
(334) 834-8347
NPI assigned
Oct 3, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AL12335 AL Primary

Addresses

Primary practice location

1722 Pine St
Suite 700
Montgomery, AL 36106-1103

Mailing address

1722 Pine St
Suite 700
Montgomery, AL 36106-1103
Phone (334) 834-1300

Other identifiers 1

IdentifierTypeStateIssuer
051551704EPPMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000775 AL Practitioner - Neurology 8729099924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Montgomery, PCGroup PAC ID 6507849122, 5 clinicians

Practice addresses (Care Compare)

4154 Carmichael
Montgomery, AL 36106-1125
Phone (334) 834-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
64.9
Promoting interoperability
84
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL12335ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Montgomery, PC Neurology CurrentSince Jun 4, 2002 Accepting new patients

Locations

1722 Pine St
Montgomery, AL 36106
Phone (334) 293-6825

1722 Pine St
Ste 700
Montgomery, AL 36106

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Interoperability endpoints

  • Direct secure messaging: regionalhealthdiagnostics.larryepperson@117073.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669469888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 700",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-1300",
            "fax_number": "334-834-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 700",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-1300",
            "fax_number": "334-834-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "LARRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "AL12335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551704EPP",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.