Individual provider Active NPI

Michael S Powell, MD

  • Pediatrics Physician
  • Huntsville, AL
National Provider Identifier
1710031349
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8909 Issued in AL
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

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000012930MedicaidAL
510-12930OtherALBCBS

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

OrganizationSpecialtyStatusNew patients
Michael S Powell Pediatrics CurrentSince Jun 1, 2021 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.

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.

Verify at the official NPI Registry.