Individual provider Active NPI

Joel Alonzo Powell Jr., M.D.

  • General Practice Physician
  • Decatur, AL
National Provider Identifier
1700185642
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.10713 Issued in AL
Practice address
1304 13TH Ave SE
Ste a
Decatur, AL 35601-4359
Phone
(256) 340-1251
Fax
(256) 353-6723
NPI assigned
Mar 17, 2011
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD.10713 AL Primary
General Practice Physician 208D00000X 4301041543 MI
General Practice Physician 208D00000X C40967 CA

Addresses

Primary practice location

1304 13TH Ave SE
Ste a
Decatur, AL 35601-4359

Mailing address

1304 13TH Ave SE
Suite a
Decatur, AL 35601-4359
Phone (256) 340-1251

Other identifiers 1

IdentifierTypeStateIssuer
147303MedicaidAL

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
I20130611000565 AL Practitioner - General Practice 2264671866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Meharry Medical College School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

1304 13TH Ave SE
Suite a
Decatur, AL 35601-4316
Phone (256) 340-1251

216 Marengo St a
Florence, AL 35630-6034
Phone (256) 760-8289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.10713ALMDGeneral Practice Physician
C40967CAMDGeneral Practice Physician
4301041543MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc CurrentSince Mar 16, 2013 Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Mar 16, 2013 Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Locations

1304 13th Ave SE
Ste A
Decatur, AL 35601
Phone (256) 340-1251

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 502-3009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHGAA
  • Direct secure messaging: joel.powell@fhcc.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1700185642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-340-1251",
            "fax_number": "601-825-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-340-1251",
            "fax_number": "256-353-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOEL",
        "middle_name": "ALONZO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD.10713",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301041543",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C40967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147303",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.