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
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

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, LLC 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

  • Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

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

National Provider Directory

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

Practice roles

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

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

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

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
009991115MedicaidAL
0102102OtherUNITED HEALTHCARE
051528013OtherBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2017.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009991115",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0102102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051528013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.