Individual provider Active NPI

Joseph Frederick McGowin III, M.D.

  • Orthopaedic Surgery Physician
  • Mobile, AL
National Provider Identifier
1861450678
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00011598 Issued in AL
Practice address
6144 Airport Blvd
Mobile, AL 36608-3143
Phone
(251) 476-5050
Fax
(251) 450-2770
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00011598 AL Primary

Addresses

Primary practice location

6144 Airport Blvd
Mobile, AL 36608-3143

Mailing address

PO Box 86144
Mobile, AL 36689-6144
Phone (251) 476-5050

Other identifiers 5

IdentifierTypeStateIssuer
00118995MedicaidMS
000079343MedicaidAL
200028689OtherRAILROAD MEDICARE
631187140OtherTAX ID
051079343OtherALBCBS

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
I20100615000000 AL Practitioner - Orthopedic Surgery 5294865440 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00011598ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, PC Orthopaedic Surgery CurrentSince Jan 1, 1998 Accepting new patients
The Orthopaedic Group, P.C. Orthopaedic Surgery CurrentSince Jan 1, 1998 Accepting new patients

Locations

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

610 Providence Park Dr E
Ste 101
Mobile, AL 36695
Phone (251) 378-3900

838 Mill St
Ste C
Lucedale, MS 39452
Phone (334) 476-5050

Organizations & group practices 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1861450678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86144",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366896144",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWIN",
        "first_name": "JOSEPH",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00011598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118995",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079343",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200028689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "631187140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051079343",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.