Individual provider Active NPI

Lee C Ferguson, D.O.

  • Vascular Surgery Physician
  • Mobile, AL
National Provider Identifier
1932368834
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DO.1236 Issued in AL
Practice address
1151 Dauphin St
Mobile, AL 36604-2547
Phone
(251) 445-0075
Fax
(251) 445-0072
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 23226 MS
Vascular Surgery Physician 2086S0129X DO.1236 AL Primary

Addresses

Primary practice location

1151 Dauphin St
Mobile, AL 36604-2547

Mailing address

1151 Dauphin St
Mobile, AL 36604-2547
Phone (251) 445-0075

Other identifiers 1

IdentifierTypeStateIssuer
185176MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160613001704 AL Practitioner - Vascular Surgery 5496915654 Reassigns benefits to 1 organization
I20170504002231 MS Practitioner - Vascular Surgery 5496915654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Associates of South Alabama LLCGroup PAC ID 2961717244, 6 clinicians

Practice addresses (Care Compare)

1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 410-8272

919 Winter St
Lucedale, MS 39452-5767
Phone (251) 410-8272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal42
Leg revascularization (restoring blood flow)91
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1236ALMDVascular Surgery Physician
23226MSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Associates of South Alabama, LLC Vascular Surgery CurrentSince Jul 1, 2019 Accepting new patients
George County Hospital Current Accepting new patients
Urology Associates of Mobile, P.a. PastSince Jul 1, 2016 Accepting new patients

Locations

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272

Interoperability endpoints

  • Direct secure messaging: lee.ferguson@vascentmob.direct.medconnect-inc.com
  • Direct secure messaging: lferguson26264@direct.acumenmd.com
  • Direct secure messaging: leeferguson@grh.medalliesdirect.net

Organizations & group practices 3

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 5

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1932368834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042547",
            "telephone_number": "251-445-0075",
            "fax_number": "251-445-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042547",
            "telephone_number": "251-445-0075",
            "fax_number": "251-445-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LEE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "23226",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "DO.1236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185176",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.