Charles Wesley Minor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43012 Issued in AL

Practice address

2165 Highway 78 Ste 100
Dora, AL 35062-4539

Phone

(205) 648-4567

NPI assigned

Apr 11, 2020

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Center, LLCGroup PAC ID 3779684139, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
• Aveanna Hospice of Cullman Hospice, Cullman, AL, CCN 011643
• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Health Center LLC

  • Family Medicine Physician
  • Dora, AL
  • NPI 1023226446
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD

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

• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation
• Comfort Care Home Health Services LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1851350334
  Care Compare affiliation
• Comfort Care Hospice, LLC

  dba Aveanna Hospice of Cullman

  • Community Based Hospice Care Agency
  • Cullman, AL
  • NPI 1154354637
  Care Compare affiliation

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1700405503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 HIGHWAY 78 STE 100",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350624539",
            "telephone_number": "205-648-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "CHARLES",
        "middle_name": "WESLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "43012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Henslee, PHARMD
• Kenneth Samuel Glover II (Ken Glover Drug)
• Mark A Knight, RN
• Maria Lively, RPH
• Brooke Diane Loveless-Yates, CRNP
• Angela Jannette Moore, LPC
• John Coney Pegues, MD
• Premier Health Center LLC
• Prestige Compounding
• Angela Bevin Romine

• Family Medicine Physician in Dora, AL
• Providers in Dora, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.

Verify at the official NPI Registry.