Individual provider Active NPI

Logan Mendheim

  • Psychiatric/Mental Health Nurse Practitioner
  • Helena, AL
National Provider Identifier
1871042226
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-143819 Issued in AL
Practice address
1109 Townhouse Rd
Helena, AL 35080-4012
Phone
(205) 621-8677
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-143819 AL Primary

Addresses

Primary practice location

1109 Townhouse Rd
Helena, AL 35080-4012

Mailing address

1109 Townhouse Rd
Helena, AL 35080-4012

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002245 AL Practitioner - Nurse Practitioner 2163702572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

3000 Riverchase Galleria
Suite 500
Hoover, AL 35244-2365
Phone (205) 444-0420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-143819ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shelby Psychiatric Services, Inc. CurrentSince Sep 24, 2016 Accepting new patients
Grayson and Associates PC CurrentSince Nov 1, 2018 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients
River Region Psychiatry Associates LLC Past Accepting new patients

Locations

1109 Townhouse Rd
Helena, AL 35080
Phone (205) 267-2945

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

2032 Valleydale Rd
Ste D
Hoover, AL 35244
Phone (205) 621-8677

3000 Riverchase Galleria
Ste 500
Hoover, AL 35244
Phone (205) 444-0420

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

1940 Highway 33
Unit A
Pelham, AL 35124
Phone (205) 664-1040

Organizations & group practices 4

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1871042226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 TOWNHOUSE RD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 TOWNHOUSE RD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804012",
            "telephone_number": "205-621-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDHEIM",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-143819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AL

Sources for this page

Verify at the official NPI Registry.