Active NPI
Mymoon Antony, MD
- Internal Medicine Physician
- Montgomery, AL
National Provider Identifier
1689248593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48279
- Practice address
- 1725 Pine St
Montgomery, AL 36106-1117 - Phone
- (334) 293-8000
- NPI assigned
- May 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48279 | AL | Primary |
Addresses
Primary practice location
1725 Pine St
Montgomery, AL 36106-1117
Mailing address
8913 Dallinger CT
Montgomery, AL 36117-0929
Phone (325) 660-8962
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219004796 | AL | Practitioner - Internal Medicine | 4082010988 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Hospital and Clinic, Inc
Practice addresses (Care Compare)
1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500
Hospital & facility affiliations
- Jackson Hospital & Clinic Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48279 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients |
Locations
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
-
- Community/Retail Pharmacy
- Prattville, AL
- NPI 1376137984
-
- Pharmacy
- Montgomery, AL
- NPI 1467116137
-
- Family Medicine Physician
- Deatsville, AL
- NPI 1215519418
-
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Hospitalist Physician
- Montgomery, AL
- NPI 1306229190
Hospital & facility affiliations 1
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": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1689248593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8913 DALLINGER CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361170929",
"telephone_number": "325-660-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 PINE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061117",
"telephone_number": "334-293-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "MYMOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "48279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.