Charles M Eddins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00014732 Issued in AL

Practice address

1772 S Alabama Ave
Monroeville, AL 36460-3062

Phone

(251) 575-4825

Fax

(251) 575-7730

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Monroe County Health Care Authority

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904

  Corporate Officer

  CMS ownership
• Monroe County Health Care Authority

  • Rural Health Clinic/Center
  • Monroeville, AL
  • NPI 1558826743

  Corporate Director

  CMS ownership

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.

• Doctors Clinic of Monroeville PC

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457381261

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD

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

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Monroeville, AL
  • NPI 1679588446
  Care Compare affiliation
• Monroe County Health Care Authority

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904

  Hospital

  Care Compare affiliation
• Monroe County Health Care Authority

  • Home Health Agency
  • Monroeville, AL
  • NPI 1912946708
  Care Compare affiliation

Specialty

Family Practice

Education

University of Alabama School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Clinic of Monroeville PC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Co Hosp Progressive Hom Home health agency, Monroeville, AL, CCN 017323
• Amedisys Home Health of Monroeville Home health agency, Monroeville, AL, CCN 017163
• Monroe County Hospital Hospital, Monroeville, AL, CCN 011310
• Monroe County Hospital Hospital, Monroeville, AL, CCN 010120

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1932104809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 136 W",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-4825",
            "fax_number": "251-575-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 S ALABAMA AVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603062",
            "telephone_number": "251-575-4825",
            "fax_number": "251-575-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00014732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "080031628",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER #",
            "identifier": "86980",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000086980",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Curriston, M.D.
• Katrena Marie Dale, LMSW
• Karla Rae Defee, RPH
• Doctors Clinic of Monroeville PC
• Taylor Bozeman Draper, RN
• Encore Rehabilitation, Inc.
• Englewood Health Care Center, LLC
• Mallory Brooke Etheridge
• Noelle M Falkenberry, NP
• Family Chiropractic Care, PC

• All providers in Monroeville, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.