Individual provider Active NPI

Junauh Mariah Allgood, FNP-C

  • Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1972136422
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-172929 Issued in AL
Practice address
1006 11TH Ave N Apt a
Columbus, MS 39701-3543
Phone
(601) 692-3395
NPI assigned
Feb 12, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-172929 AL Primary

Addresses

Primary practice location

1006 11TH Ave N Apt a
Columbus, MS 39701-3543

Mailing address

5721 USA Dr N
Mobile, AL 36688-0001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000178 AL Practitioner - Nurse Practitioner 8022438597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-172929ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Sep 29, 2020 Accepting new patients
Franklin Primary Health Center Inc. CurrentSince Sep 29, 2020 Accepting new patients
Franklin Primary Health Center, Inc. Past Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Interoperability endpoints

  • Direct secure messaging: jallgood374641@direct.ochin.org

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1972136422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 USA DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 11TH AVE N APT A",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397013543",
            "telephone_number": "601-692-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "JUNAUH",
        "middle_name": "MARIAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-172929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.