Individual provider Active NPI

Joe F Terrell, M. D.

  • Family Medicine Physician
  • Brewton, AL
National Provider Identifier
1750354544
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6698 Issued in AL
Practice address
1121 Belleville Ave
Brewton, AL 36426-1505
Phone
(251) 809-3130
Fax
(251) 809-3135
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6698 AL Primary

Addresses

Primary practice location

1121 Belleville Ave
Brewton, AL 36426-1505

Mailing address

7420 Spanish Fort Blvd
Ste B
Spanish Fort, AL 36527-5350
Phone (251) 626-6757

Other identifiers 1

IdentifierTypeStateIssuer
00006306MedicaidAL

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
I20051213000433 AL Practitioner - Family Practice 3779504121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
93.4
Promoting interoperability
99
Improvement activities
40
Cost
61.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6698ALMDGeriatric Pharmacist

Practice roles (3 of 8)

OrganizationSpecialtyStatusNew patients
D.W. McMillan Memorial Hospital Current Accepting new patients
Kelly Lambeth CRNP LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
West Gate Village, LLC Past Accepting new patients

Locations

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

100 Pineview St
Brewton, AL 36426
Phone (251) 583-8408

108 S Church St
Fairhope, AL 36532
Phone (251) 583-8408

7420 Spanish Fort Blvd
#B
Spanish Fort, AL 36527
Phone (251) 583-8408

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0

Interoperability endpoints

  • Direct secure messaging: joe.terrell.1@15695.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15695/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1750354544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SPANISH FORT BLVD",
            "address_2": "STE B",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275350",
            "telephone_number": "251-626-6757",
            "fax_number": "251-626-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261505",
            "telephone_number": "251-809-3130",
            "fax_number": "251-809-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JOE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "6698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00006306",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.