Individual provider Active NPI

Daniel Mejer, M.D.

  • Psychiatry Physician
  • Opelika, AL
National Provider Identifier
1710988720
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20646 Issued in AL
Practice address
2202A Gateway Drive
Opelika, AL 36801-6870
Phone
(256) 546-9265
Fax
(256) 549-0376
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20646 AL Primary

Addresses

Primary practice location

2202A Gateway Drive
Opelika, AL 36801-6870

Mailing address

3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone (256) 546-9265

Other identifiers 2

IdentifierTypeStateIssuer
000093938MedicaidAL
20646OtherALMEDICAL LICENSE

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
I20080414000161 AL Practitioner - Psychiatry 6204913312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kolbe Clinic LLCGroup PAC ID 4183925910, 7 clinicians

Practice addresses (Care Compare)

1830 Montclair Rd
Suite a
Irondale, AL 35210-2645
Phone (205) 775-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20646ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Psychiatry CurrentSince Nov 1, 2015 Accepting new patients
Southwest Alabama Behavioral Health Care Systems CurrentSince Sep 12, 2012 Accepting new patients
Cahaba Center for Mental Health and Mental Retardation CurrentSince Oct 22, 2013 Accepting new patients
Brighter Path Alabama, LLC Past Accepting new patients
Brighter Path Alabama, LLC Past Accepting new patients
Brighter Path Alabama, LLC Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients

Locations

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

1017 Medical Center Pkwy
Selma, AL 36701
Phone (334) 875-2100

80 Herren Hill Rd
Ste C
Tallassee, AL 36078
Phone (205) 882-7007

2121 9th St
Ste C
Tuscaloosa, AL 35401
Phone (205) 764-1358

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

Organizations & group practices 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710988720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HWY",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043047",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202A GATEWAY DRIVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016870",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJER",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "20646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093938",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20646",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.