Individual provider Active NPI

Paul A Avenel, MD

  • Emergency Medicine Physician
  • Selmer, TN
National Provider Identifier
1972721850
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.32359 Issued in AL
Practice address
705 E Poplar Ave
Selmer, TN 38375-1828
Phone
(731) 646-0200
Fax
(731) 645-8275
NPI assigned
Apr 23, 2007
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.32359 AL Primary
Surgery Physician 208600000X 46282 TN

Addresses

Primary practice location

705 E Poplar Ave
Selmer, TN 38375-1828

Mailing address

705 E Poplar Ave
Selmer, TN 38375-1828
Phone (731) 646-0200

Other practice location 1

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 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
I20101115001349 TN Practitioner - Emergency MedicinePractitioner - General Surgery 9739374844 Reassigns benefits to 2 organizations
I20130506000516 AL Practitioner - General SurgeryPractitioner - Emergency Medicine 9739374844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Immh Scottsboro LLCGroup PAC ID 2567787344, 15 clinicians

Practice addresses (Care Compare)

1255 E College St
Suite 500
Pulaski, TN 38478-4562
Phone (931) 762-2332

1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (240) 686-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.32359ALMDEmergency Medicine Physician
46282TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC Surgery CurrentSince Nov 5, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 26, 2025 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Highlands Surgical Services LLC Surgery CurrentSince Oct 12, 2013 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Apr 4, 2013 Accepting new patients
Amg-Crockett, LLC CurrentSince Nov 5, 2023 Accepting new patients
Charles B. Lovelady, M.D., L.L.C. Surgery Past Accepting new patients
Mitchell Eye Center, PLLC PastSince Jun 1, 2018 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

380 Woods Cove Rd
Ste B
Scottsboro, AL 35768
Phone (256) 259-0185

509 Burlington St
Scottsboro, AL 35768
Phone (256) 259-4817

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

192 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-2332

1255 E College St
Ste 500
Pulaski, TN 38478
Phone (931) 363-8055

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Interoperability endpoints

  • Direct secure messaging: paul.avenel.1@19363.direct.athenahealth.com
  • Direct secure messaging: rfo8366@yourcarecommunity.org

Organizations & group practices 9

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 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1972721850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751828",
            "telephone_number": "731-646-0200",
            "fax_number": "731-645-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751828",
            "telephone_number": "731-646-0200",
            "fax_number": "731-645-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Woods Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVENEL",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.32359",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "46282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.