Individual provider Active NPI

Hunter Chance Dickson, D.O.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1700463999
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.3129 Issued in AL
Practice address
575 Stanton Rd
Mobile, AL 36617-2344
Phone
(251) 471-7207
Fax
(251) 471-7468
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO.3129 AL Primary

Addresses

Primary practice location

575 Stanton Rd
Mobile, AL 36617-2344

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

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
I20230726001324 AL Practitioner - Internal Medicine 9032513304 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.3129ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Springhill LLC CurrentSince Jul 1, 2023 Accepting new patients
Gmuc of Citronelle LLC CurrentSince Jul 1, 2023 Accepting new patients
Gmuc of Saraland CurrentSince Jul 1, 2023 Accepting new patients
USA Health Physician Billing Services LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jul 1, 2023 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jul 1, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 1, 2024 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1700463999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 STANTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172344",
            "telephone_number": "251-471-7207",
            "fax_number": "251-471-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "HUNTER",
        "middle_name": "CHANCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.