Individual provider Active NPI

Philip Tracy Massa, M.D.

  • Psychiatry Physician
  • Bessemer, AL
National Provider Identifier
1962449223
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17442 Issued in AL
Practice address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone
(251) 423-5887
NPI assigned
Jun 2, 2006
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17442 AL Primary

Addresses

Primary practice location

995 9TH Ave SW
Bessemer, AL 35022-4527

Mailing address

15305 Marina Drive
Northport, AL 35475
Phone (251) 423-5887

Other practice location 1

1227 37th Avenue East
Tuscalousa, AL 35404
Phone (251) 423-5887

Other practice location 2

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8000 ext. 8980

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
I20060718000247 AL Practitioner - PsychiatryPractitioner - General Practice 3476566340 Reassigns benefits to 1 organization
Practice locations: Northport, AL; Birmingham, AL; Bessemer, AL

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Meharry Medical College School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1028 Bessemer Rd
Birmingham, AL 35228-1103
Phone (205) 923-1777

995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17442ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Mental Health & Mental Retardation CurrentSince Jan 16, 2013 Accepting new patients
Charles T Nevels MD PC Psychiatry Current Accepting new patients
State of Alabama Dept of Finace CurrentSince Jan 16, 2013 Accepting new patients
State of Alabama Dept of Mental Health & Mental Retardation Current Accepting new patients
State of Alabama Dept of Finance Past Accepting new patients

Locations

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

725 E Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 662-6700

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-8000

200 University Blvd
Tuscaloosa, AL 35401
Phone (205) 759-0715

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

Hospital & facility affiliations 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1962449223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 MARINA DRIVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35475",
            "telephone_number": "251-423-5887",
            "fax_number": "251-423-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "251-423-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 37th Avenue East",
            "address_purpose": "LOCATION",
            "city": "Tuscalousa",
            "state": "AL",
            "postal_code": "35404",
            "country_code": "US",
            "telephone_number": "251-423-5887",
            "fax_number": "251-423-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Ruby Tyler Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354042990",
            "country_code": "US",
            "telephone_number": "205-507-8000 x8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA",
        "first_name": "PHILIP",
        "middle_name": "TRACY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "17442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.