Individual provider Active NPI

Meghan Kay McPheeters Black, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1932547148
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.37133 Issued in AL
Practice address
1720 2ND Ave S # Fot720
Birmingham, AL 35294-0004
Phone
(205) 934-3007
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-00699 NC
Hospitalist Physician 208M00000X 2016-00699 NC
Hospitalist Physician 208M00000X MD.37133 AL
Internal Medicine Physician 207R00000X MD.37133 AL Primary

Addresses

Primary practice location

1720 2ND Ave S # Fot720
Birmingham, AL 35294-0004

Mailing address

1720 2ND Ave S # Fot720
Birmingham, AL 35294-0004
Phone (205) 934-3007

Other practice location 1

101 Manning Dr
Campus Box #7085
Chapel Hill, NC 27599-7085
Phone (919) 966-1459

Other practice location 2

101 Manning Dr
Campus Box #7085
Chapel Hill, NC 27599-7085
Phone (919) 966-1459

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
I20180925002601 AL Practitioner - Internal Medicine 6709108715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37133ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2018 Accepting new patients

Locations

1720 2nd Ave S
#720
Birmingham, AL 35294
Phone (205) 934-3007

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

Organizations & group practices 1

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1932547148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S # FOT720",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940004",
            "telephone_number": "205-934-3007",
            "fax_number": "205-975-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S # FOT720",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940004",
            "telephone_number": "205-934-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "Campus Box #7085",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997085",
            "country_code": "US",
            "telephone_number": "919-966-1459",
            "fax_number": "919-843-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_2": "Campus Box #7085",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997085",
            "country_code": "US",
            "telephone_number": "919-966-1459",
            "fax_number": "919-843-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MEGHAN",
        "middle_name": "KAY MCPHEETERS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-00699",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2016-00699",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.37133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.37133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.