MEDICARE: FOOT AND ANKLE CENTER OF MOBILE BAY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	00041	AL
2	261QP1100X	Podiatric Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H589	OTHER	AL	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480000819	OTHER	AL	RAILROAD PTAN
3	480028125	OTHER	AL	RAILROAD PTAN

General Provider Information

NPI Number	:	1164465878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE CENTER OF MOBILE BAY, P.C.

Provider Business Mailing Address
First Line	:	705 BISHOP LN N
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-5838
Country	:	US
Telephone Number	:	251-343-5971
Fax Number	:	251-343-7589

Provider Business Practice Location Address
First Line	:	705 BISHOP LN N
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-5838
Country	:	US
Telephone Number	:	251-373-5971
Fax Number	:	251-373-7589

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	JAMES HAROLD MORGAN
Credential	:	DPM
Telephone Number	:	251-343-5971

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/29/2025

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