Individual provider Active NPI

Mary Ingram, MD

  • Pediatrics Physician
  • Decatur, AL
National Provider Identifier
1891258497
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41856 Issued in AL
Practice address
1225 13TH Ave SE
Decatur, AL 35601-4306
Phone
(256) 242-6443
Fax
(256) 255-2559
NPI assigned
Apr 10, 2019
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41856 AL Primary

Addresses

Primary practice location

1225 13TH Ave SE
Decatur, AL 35601-4306

Mailing address

1225 13TH Ave SE
Decatur, AL 35601-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41856ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of the Valley Pediatrics PC Pediatrics CurrentSince Nov 9, 2025 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients

Locations

1225 13th Ave SE
Decatur, AL 35601
Phone (256) 350-0675

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1891258497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014306",
            "telephone_number": "256-242-6443",
            "fax_number": "256-255-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "41856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.