Active NPI
Raymond E Poore Jr., M.D.
- Urology Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 20891
- Practice address
- 1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136 - Phone
- (205) 345-7351
- Fax
- (205) 345-8476
- NPI assigned
- Apr 26, 2006
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 20891 | AL | Primary |
| Urology Physician | 208800000X | 31272 | WV |
Addresses
Primary practice location
1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Mailing address
1400 Afflink PL
Suite 100
Tuscaloosa, AL 35406-2289
Phone (205) 366-9740
Other practice location 1
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114255 | Medicaid | AL | |
| 510-68253 | Other | AL | BCBS OF AL |
| 114258 | Medicaid | AL | |
| 114261 | Medicaid | AL | |
| 20891 | Other | AL | MEDICAL LICENSE |
| 510-68270 | Other | AL | BCBS OF AL |
| 511-00713 | Other | AL | BCBS OF AL |
| 114264 | Medicaid | AL | |
| 510-68237 | Other | AL | BCBS OF AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | poorer@direct.monhealthsys.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Alabama School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 287-2647
1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 345-7351
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
- DCH Regional Medical Center
- Vaughan Regional Medical Center Parkway Campus
- Tift Regional Medical Center
- Fayette Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20891 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Southeast Physician Network, P.C. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Southeast Physician Network, P.C. | Urology | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Floyd Physicians, LLC | Urology | Current | Accepting new patients |
Locations
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777
1780 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-7351
171 Carraway Dr
Winfield, AL 35594
Phone (205) 487-4405
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- raymondpoore@directaddress.net
- rpoore336193@direct.wvuhsdirect.com
- rpoore491079@direct-ehr-ssmhc.com
Organizations & group practices 8
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.
-
- Hematology & Oncology Physician
- Tuscaloosa, AL
- NPI 1598090839
Urology
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
dba Atrium Health Floyd Specialty Care
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
Urology
-
- Hematology & Oncology Physician
- Tuscaloosa, AL
- NPI 1255813119
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
dba Vaughan Regional Medical Center
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1851357933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 AFFLINK PL",
"address_2": "SUITE 100",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062289",
"telephone_number": "205-366-9740",
"fax_number": "205-344-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 MCFARLAND BLVD N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062136",
"telephone_number": "205-345-7351",
"fax_number": "205-345-8476"
}
],
"practiceLocations": [
{
"address_1": "1200 J D Anderson Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265053494",
"country_code": "US",
"telephone_number": "304-598-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POORE",
"first_name": "RAYMOND",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "20891",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WV",
"license": "31272",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114255",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "510-68253",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114258",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114261",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "20891",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "510-68270",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-00713",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114264",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "510-68237",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "poorer@direct.monhealthsys.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 J D Anderson Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265053494",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.