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CHARLES THOMAS MANSOUR MD
NPI 1629711700
Internal Medicine in Fairhope, AL

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
750 MORPHY AVE, FAIRHOPE, AL 36532(251) 435-7289 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 6, 2025, Apr 18, 2022 (2 updates tracked since 2022).

About Charles Thomas Mansour Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES THOMAS MANSOUR MD (NPI 1629711700) is an individual internal medicine provider in Fairhope, Alabama, licensed in Alabama (48231) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2020).

NPPES Registry Identity

NPI1629711700
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES THOMAS MANSOURCredential: MD
Location Address750 MORPHY AVEFairhope, AL 36532-1812
Mailing Address750 Morphy AveFairhope, AL 36532-1812 · (251) 435-7289
Phone(251) 435-7289
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020
Enumeration DateApril 18, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1629711700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 48231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
750 MORPHY AVE, Fairhope, AL 36532
Open in Google Maps ↗

Other Identifiers 1

Other000000000AL · Na

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Thomas Mansour Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012417389
PECOS Enrollment IDI20250821002243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL BRYANT GLISSON D.O.
Emergency Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 990-1150
MRS. CATHERINE MOTLOW POWELL
Dietitian, Registered
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 279-1700
JOEL BRIAN HICKS
Nurse Anesthetist, Certified Registered
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 928-2375
DR. VERNON LYLE HERMECZ MD
Emergency Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 990-1150
JONATHAN MARK HARDIN DO
Emergency Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 928-2375
ALEXANDRA MACPHERSON DO
Emergency Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (757) 651-5213
FORREST WRENN MD
Internal Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 279-1529
SRIHASA ALLAM MD
Internal Medicine
750 MORPHY AVE
FAIRHOPE, AL 36532
Baldwin County (251) 435-7299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mansour's NPI number?

The NPI number for Charles Mansour is 1629711700. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Charles Mansour located?

Charles Mansour practices at 750 Morphy Ave, Fairhope, AL 36532. The listed phone number is (251) 435-7289.

What is Charles Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Mansour enrolled in Medicare?

Yes. Charles Mansour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Mansour accept?

Health plans from Blue Cross and Blue Shield of Alabama list Charles Mansour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Mansour was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.