Active NPI
Michael S Powell, MD
- Pediatrics Physician
- Huntsville, AL
National Provider Identifier
1710031349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8909
- Practice address
- 2227 Drake Ave SW Ste 28
Huntsville, AL 35805-5146 - Phone
- (256) 533-6644
- Fax
- (256) 536-8610
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8909 | AL | Primary |
Addresses
Primary practice location
2227 Drake Ave SW Ste 28
Huntsville, AL 35805-5146
Mailing address
2227 Drake Ave SW Ste 28
Huntsville, AL 35805-5146
Phone (256) 533-6644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000012930 | Medicaid | AL | |
| 510-12930 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S Powell | Pediatrics | Current | Accepting new patients |
Locations
600 Saint Clair Ave SW
Ste 1
Huntsville, AL 35801
2227 Drake Ave SW
Ste 28
Huntsville, AL 35805
Phone (256) 533-6644
Networks
- bcbs alabama network 01C0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
- bcbs alabama network 01E0
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Huntsville, AL
- NPI 1679142426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1710031349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 DRAKE AVE SW STE 28",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055146",
"telephone_number": "256-533-6644",
"fax_number": "256-536-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 DRAKE AVE SW STE 28",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055146",
"telephone_number": "256-533-6644",
"fax_number": "256-536-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "8909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000012930",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-12930",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.