CHARLES WESLEY MINOR – Family Medicine Physician, NPI 1700405503

CHARLES WESLEY MINOR is a healthcare provider. based in Dora, Alabama. specializing in FAMILY PRACTICE. They hold a License No. 43012 (AL). The NPI Number for CHARLES WESLEY MINOR is 1700405503

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES WESLEY MINOR
NPI
1700405503
Phone
(205) 648-4567
Address
2165 HIGHWAY 78 STE 100
Enumeration Date
11 April 2020
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2056484567
Graduation Year
2020 (6 years ago)
PAC ID
2860822533
Group Practice PAC ID
3779684139
Professional Enrollment ID
I20220923002023
Address ID
AL350624539DO2165X78XX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for CHARLES WESLEY MINOR

  • 2165 HIGHWAY 78 STE 100

    DORA, AL 350624539

    Phone: (205) 648-4567

    Type: Location

  • 301 GOVERNORS DR SW

    HUNTSVILLE, AL 358015123

    Phone: (256) 536-5511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Indivior Inc. ($114).

Total Amount

$358

General + Research + Ownership

Payments

17

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220923002023IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg55884$0
J0696Injection, ceftriaxone sodium, per 250 mg40278$0
99214Established patient office or other outpatient visit, 30-39 minutes395218$0
96372Injection of drug or substance under skin or into muscle311132$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count131105$0
View full utilization report →

Insurance plans in this area (ZIP 35062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779684139View full group profile
NameSpecialtyState
Nurse PractitionerAL
Emergency MedicineAL
-AL

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES WESLEY MINOR?
NPI 1700405503 is assigned to CHARLES WESLEY MINOR under the national enumeration system.
Is CHARLES WESLEY MINOR active in the national directory?
CHARLES WESLEY MINOR's public NPI profile is in an active state.
What kind of provider is CHARLES WESLEY MINOR?
The page reflects Family Medicine Physician for CHARLES WESLEY MINOR. Clinical services aligned with this taxonomy classification.
Where is CHARLES WESLEY MINOR's primary listing?
We display Dora, Alabama because that is what the record indicates for CHARLES WESLEY MINOR.
What if Dora, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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