Individual provider Active NPI

Judy Delacee Corbett, MD

  • Obstetrics & Gynecology Physician
  • Foley, AL
National Provider Identifier
1992887111
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17877 Issued in AL
Practice address
1506 N McKenzie St
Ste 104
Foley, AL 36535-2261
Phone
(251) 424-1100
Fax
(251) 424-1110
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17877 AL Primary

Addresses

Primary practice location

1506 N McKenzie St
Ste 104
Foley, AL 36535-2261

Mailing address

1506 N McKenzie St
Ste 104
Foley, AL 36535-2261
Phone (251) 424-1100

Other identifiers 1

IdentifierTypeStateIssuer
529922890MedicaidAL

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
I20050422000108 AL Practitioner - Obstetrics/Gynecology 3072551811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin OB-GYN PCGroup PAC ID 1456399286, 3 clinicians

Practice addresses (Care Compare)

1506 N McKenzie St
Suite 104
Foley, AL 36535-2264
Phone (251) 424-1100

Hospital & facility affiliations

  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17877ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin OB-GYN PC CurrentSince Apr 1, 2005 Accepting new patients

Locations

1506 N McKenzie St
Ste 104
Foley, AL 36535
Phone (251) 424-1100

Interoperability endpoints

  • Direct secure messaging: judy.corbett@baldob.direct.medconnect-inc.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1992887111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST",
            "address_2": "STE 104",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352261",
            "telephone_number": "251-424-1100",
            "fax_number": "251-424-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST",
            "address_2": "STE 104",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352261",
            "telephone_number": "251-424-1100",
            "fax_number": "251-424-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JUDY",
        "middle_name": "DELACEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "17877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922890",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.