Active NPI
Ethan Sterling Sellers, DO
- Family Medicine Physician
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO.2040
- Practice address
- 1613 N McKenzie St
Foley, AL 36535-2247 - Phone
- (251) 949-3400
- NPI assigned
- Apr 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO.2040 | AL | Primary |
Addresses
Primary practice location
1613 N McKenzie St
Foley, AL 36535-2247
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3278
Other practice location 1
391 Northwood Dr
Centre, AL 35960-1020
Phone (256) 927-7412
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117
1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2040 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Family Medical LLC | Current | Accepting new patients | |
| Advanced Medical Centers Inc | Current | Accepting new patients | |
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| Franklin Primary Health Center Inc. | Family Medicine | Current | Accepting new patients |
| Franklin Primary Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Metro Treatment of Alabama, LP | Current | Accepting new patients | |
| Advanced Medical Centers, LLC | Past | Accepting new patients |
Locations
926 Ross Clark Cir
Dothan, AL 36303
Phone (229) 456-2157
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
511 State Highway 59 N
Summerdale, AL 36580
Phone (251) 201-8718
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
Interoperability endpoints
- ethan.sellers.1@3503.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Family Medicine
-
dba Advanced Spine, Joint & Therapy Centers
- Chiropractor
- Dothan, AL
- NPI 1114742301
-
dba Summerdale Medical Clinic
- Primary Care Clinic/Center
- Summerdale, AL
- NPI 1285374470
-
dba Surgeons At Troy Regional Physicians Inc.
- Specialist
- Troy, AL
- NPI 1003124421
-
dba Franklin Evergreen Family Health Center
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Family Medicine
-
dba Mobile Metro Treatment Center
- Methadone Clinic
- Mobile, AL
- NPI 1639386717
-
- Internal Medicine Physician
- Crown Point, IN
- NPI 1295991008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1871080986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613210",
"telephone_number": "706-509-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247",
"telephone_number": "251-949-3400"
}
],
"practiceLocations": [
{
"address_1": "391 Northwood Dr",
"address_purpose": "LOCATION",
"city": "Centre",
"state": "AL",
"postal_code": "359601020",
"country_code": "US",
"telephone_number": "256-927-7412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLERS",
"first_name": "ETHAN",
"middle_name": "STERLING",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-16",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO.2040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.