Individual provider Active NPI

Beverly A Stoudemire-Howlett, MD

  • Cardiovascular Disease Physician
  • Montgomery, AL
National Provider Identifier
1891766630
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00012313 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
Fax
(334) 280-1600
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00012313 AL Primary

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

PO Box 241587
Montgomery, AL 36124-1587
Phone (334) 280-1500

Other identifiers 3

IdentifierTypeStateIssuer
12313OtherALAL MEDICAL LICENSE
79005MedicaidAL
051520174OtherALBLUE SHIELD PROVIDER #

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
I20040825001362 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446222921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of South Alabama College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1758 Park PL
Suite 402
Montgomery, AL 36106-1135
Phone (334) 293-6842

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

Merit-based Incentive Payment System (MIPS)

Final score
70.68 of 100Reported as individual
Quality
63.24
Improvement activities
40
Cost
65.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00012313ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital & Clinic, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital and Clinic Inc Cardiovascular Disease CurrentSince Feb 1, 2017 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Jackson Hospital and Clinic, Inc. Past Accepting new patients

Locations

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

2257 Taylor Rd
Ste 200
Montgomery, AL 36117
Phone (334) 270-9914

1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1758 Park Pl
Ste 402
Montgomery, AL 36106
Phone (334) 265-7255

1758 Park Pl
Ste 401
Montgomery, AL 36106
Phone (334) 240-6700

1725 Park Pl
Ste 300A
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: beverly.stoudemire-howl.1@9186.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891766630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241587",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241587",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDEMIRE-HOWLETT",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00012313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAL LICENSE",
            "identifier": "12313",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "051520174",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.