Individual provider Active NPI

Don Earl McCormick III, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
National Provider Identifier
1811309255
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD.34770 Issued in AL
Practice address
840 Montclair Rd
Suite 317
Birmingham, AL 35213
Phone
(205) 599-4822
NPI assigned
May 20, 2014
Last updated
May 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD.34770 AL Primary

Addresses

Primary practice location

840 Montclair Rd
Suite 317
Birmingham, AL 35213

Mailing address

840 Montclair Rd
Suite 317
Birmingham, AL 35213-1920

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
I20180712002452 AL Practitioner - Physical Medicine and Rehabilitation 5193013712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Pain and Rehabilitation Physicians, PCGroup PAC ID 2264467505, 4 clinicians

Practice addresses (Care Compare)

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Phone (205) 759-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.14 of 100Reported as individual
Quality
50.5
Improvement activities
0
Cost
65.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.34770ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Dec 29, 2021 Accepting new patients
Southeastern Pain & Rehabilitation Physicians, PC CurrentSince Nov 1, 2021 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Alabama Orthopedic Spine & Sports Medicine Associates P C Physical Medicine & Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
DCH Healthcare Authority Current Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 29, 2021 Accepting new patients
The DCH Healthcare Authority Current Accepting new patients
Fayette Medical Center CurrentSince Dec 29, 2021 Accepting new patients
Baptist Health System, Inc. Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients

Locations

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1811309255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 317",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 317",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-599-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "DON",
        "middle_name": "EARL",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "MD.34770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.