Melissa Stewart Deberry, M.D.
Individual provider Active NPI Family Medicine Physician · Hampton Cove, AL
NPI 1982805776 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1982805776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27059 (AL)
- Practice address
- 180 Old Highway 431 Ste C
Hampton Cove, AL 35763-9274 - Phone
- (256) 585-3961
- Fax
- (256) 585-3971
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080227000638 | AL | Practitioner - Family Practice | 9133203284 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27059 | AL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27059 | AL | Yes |
Addresses
Primary practice location
180 Old Highway 431 Ste C
Hampton Cove, AL 35763-9274
Mailing address
180 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9274
Phone (256) 585-3961
Other providers in Hampton Cove, AL
- American Family Care, LLC
- BLC Wellington-Hampton Cove, LLC
- Rayna Burkard
- Jessica Allen Chew
- Devry France Coghlan
- Faulds Chiropractic LLC
- John Benjamin Faulds
- Floyd Hayward Gunnin
- Dan Horn
- Jonathan E. Pope, D.M.D., PC
All providers in Hampton Cove, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.