OrganizationActive
Marshall Medical Center South
NPI 1780776633 · Otolaryngology Physician · Boaz, AL
Marshall Medical Center South is a Otolaryngology Physician organization in Boaz, AL (NPI 1780776633).
Provider details
- NPI number
- 1780776633
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Gore, Ceo(256) 593-8310
- License
- 10383 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
704 Medical Center Parkway
Boaz, AL 35957
Phone: (256) 593-7266
Fax: (256) 840-9833
Street-level locationGet directions
Mailing address
704 Medical Center Parkway
Boaz, AL 35957
Other names (DBA / former)
- Doing business as
- Masdon Ent Practice
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Marshall Medical Center South's NPI number?
- Marshall Medical Center South's National Provider Identifier (NPI) is 1780776633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marshall Medical Center South?
- Marshall Medical Center South is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Marshall Medical Center South located?
- Marshall Medical Center South's practice location on file with NPPES is 704 Medical Center Parkway, Boaz, AL 35957.
- What is Marshall Medical Center South's phone number?
- The practice phone number listed in the NPPES registry for Marshall Medical Center South is (256) 593-7266.
- Who is the authorized official for Marshall Medical Center South?
- The authorized official listed on Marshall Medical Center South's NPPES record is Gary Gore, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marshall Medical Center South's NPI active?
- Yes — Marshall Medical Center South's NPI (1780776633) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.