Individual provider Active NPI

Ashley Darnell McIntyre, MD

  • General Practice Physician
  • Montgomery, AL
National Provider Identifier
1699747709
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00025985 Issued in AL
Practice address
129 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 279-8180
Fax
(334) 279-8214
NPI assigned
Feb 2, 2006
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00025985 AL Primary

Addresses

Primary practice location

129 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

129 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 279-8180

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
I20050308000671 AL Practitioner - Family Practice 9931153418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

129 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 279-8180

606 Boll Weevil Cir
A
Enterprise, AL 36330-2734
Phone (334) 475-2462

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Montgomery Christian Family Medicine, LLC General Practice CurrentSince Feb 24, 2005 Accepting new patients
American Family Care, LLC CurrentSince Oct 28, 2018 Accepting new patients
American Family Care, LLC General Practice CurrentSince Oct 28, 2018 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2014 Accepting new patients
United Florala, Inc Past Accepting new patients

Locations

606 Boll Weevil Cir
#A
Enterprise, AL 36330
Phone (334) 475-2462

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

128 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 245-6605

129 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 279-8180

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

34 Taylor Rd N
Montgomery, AL 36117
Phone (334) 272-7639

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

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.

Hospital & facility affiliations 3

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1699747709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-279-8180",
            "fax_number": "334-279-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-279-8180",
            "fax_number": "334-279-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ASHLEY",
        "middle_name": "DARNELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00025985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.