Individual provider Active NPI

Ethan Sterling Sellers, DO

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1871080986
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2040 Issued in AL
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

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630001771 AL Practitioner - Family Practice 4284035031 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
DO.2040ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Family Medical LLC CurrentSince Oct 1, 2022 Accepting new patients
Advanced Medical Centers Inc CurrentSince Jun 1, 2025 Accepting new patients
Troy Regional Physicians Inc CurrentSince Nov 3, 2022 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Metro Treatment of Alabama, LP CurrentSince Mar 16, 2026 Accepting new patients
Advanced Medical Centers, LLC PastSince Jun 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.