Active NPI
Jeffrey Alston Whitener, D.O.
- Emergency Medicine Physician
- Bay Minette, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1630
- Practice address
- 1815 Hand Ave
Bay Minette, AL 36507-4110 - Phone
- (251) 435-1330
- NPI assigned
- Oct 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 1630 | AL | Primary |
Addresses
Primary practice location
1815 Hand Ave
Bay Minette, AL 36507-4110
Mailing address
22 Rickarby PL
Mobile, AL 36606-1433
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 C McMeans Ave
Bay Minette, AL 36507-3130
Phone (251) 491-0059
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-2400
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 928-2375
Hospital & facility affiliations
- Mobile Infirmary Medical Center
- Thomas Hospital
- North Baldwin Infirmary
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1630 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care 59, PC | Single Specialty | Current | Accepting new patients |
| Imc-Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Baldwin Emergency Physicians, P.C.. | Single Specialty | Current | Accepting new patients |
Locations
108 McMeans Ave
#C
Bay Minette, AL 36507
1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553
108C McMeans Ave
Bay Minette, AL 36507
Phone (251) 491-0059
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGCFDD/Endpoint/BGCFDD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Urgent Care 59 PC | Rural health clinic | 5% Or Greater Direct Ownership Interest (20%) Corporate Director W-2 Managing Employee |
Feb 22, 2023 Feb 22, 2023 Feb 22, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Bay Minette, AL
- NPI 1093415671
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
Single Specialty
-
- Emergency Medicine Physician
- Bay Minette, AL
- NPI 1578048278
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
-
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1003169392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RICKARBY PL",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 HAND AVE",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074110",
"telephone_number": "251-435-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITENER",
"first_name": "JEFFREY",
"middle_name": "ALSTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "AL",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Minette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.