Gary E Kolb, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO35 Issued in AL

Practice address

2305 Hand Ave
Suite 2
Bay Minette, AL 36507-4191

Phone

(251) 937-5652

Fax

(251) 937-5954

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25415/brand/1/csg/1/fhir/r4

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.

• Bay Minette Family Care LLC

  • Clinic/Center
  • Bay Minette, AL
  • NPI 1588338248
  Medicare reassignment NPD
• Urgent Care 59, PC

  • Rural Health Clinic/Center
  • Bay Minette, AL
  • NPI 1093415671
  Medicare reassignment NPD

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1851355846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HAND AVE",
            "address_2": "SUITE 2",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074198",
            "telephone_number": "251-937-5652",
            "fax_number": "251-937-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HAND AVE",
            "address_2": "SUITE 2",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074191",
            "telephone_number": "251-937-5652",
            "fax_number": "251-937-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51075536",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000075536",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Smith, M.D., P.C.
• Kayla Jordan
• Mary Kercher
• Deanna M Kinslow, CHES, RDN, LDN
• Micchael Gordon Kirchoff, RPH
• Laboratory Corporation of America Holdings
• Beth Lalas, CRNP
• Antea Grace Nicole Lefebvre, OTR/L
• Amanda Little
• Selena Deloach Lloyd, RN

• Family Medicine Physician in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.