Charlie Ferguson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11278 Issued in AL

Practice address

2908 Mall Dr
Florence, AL 35630-1534

Phone

(256) 767-2702

Fax

(256) 760-1870

NPI assigned

Dec 16, 2005

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Specialty

Internal MedicineAlso: Emergency Medicine

Education

University of Tennessee, HSC, College of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Plus IncGroup PAC ID 7911924931, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

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.

• Med Plus, Inc

  dba Med Plus Florence

  • Family Medicine Physician
  • Florence, AL
  • NPI 1164408571
  Medicare reassignment Care Compare group NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Med-Plus Muscle Shoals LLC

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1730165705
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• Decatur County General Hospital

  • General Acute Care Hospital
  • Parsons, TN
  • NPI 1104804566
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)
• Sterling Emergency Services of the Midwest, Inc

  dba Ellington Emergency Department Services

  • Emergency Medicine Physician
  • Lewisburg, TN
  • NPI 1700844297
  NPD (past)
• Tishomingo Health Services, Inc.

  dba Belmont Family Medical Clinic

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1962488429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 MALL DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301534",
            "telephone_number": "256-767-2702",
            "fax_number": "256-760-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MALL DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301534",
            "telephone_number": "256-767-2702",
            "fax_number": "256-760-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Avalon Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612800",
            "country_code": "US",
            "telephone_number": "256-389-9300",
            "fax_number": "256-389-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHARLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11278",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "11278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "11278",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E368",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51083625",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "51014730",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3823836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "930023562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anam Farrukh, MD
• Fast Pace Medical Clinic PLLC
• Klyne Channing Fawcett, DDS
• Feathers of Hope, LLC
• Felix Morris M.D., LLC
• Keilah Ferguson, PHARMD
• Rebecca Jane Ferguson, CRNP
• Darwin Ferng, DMD
• Renato Andres Ferrandiz Espadin, M.D.
• Fachia Penn Files, RPH

• Internal Medicine Physician in Florence, AL
• Providers in Florence, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.