Jennifer Marie Echols, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1037 Issued in AL

Practice address

1500 Ross Clark Cir
Dothan, AL 36301-4754

Phone

(334) 793-2663

Fax

(334) 836-2248

NPI assigned

Feb 3, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mississippi Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S.B.J.S. PCGroup PAC ID 8527043421, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Enterprise, AL, CCN 017013
• LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.echols.1@15455.direct.athenahealth.com

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.

• SBJS PC

  • Orthopaedic Surgery Physician
  • Dothan, AL
  • NPI 1134106065

  AL

  Medicare reassignment Care Compare group
• S.B.J.S. PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1972824993
  Care Compare group NPD
• S.B.J.S. PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1629252499
  Care Compare group NPD (past)
• S.B.J.S. PC

  • Durable Medical Equipment & Medical Supplies
  • Enterprise, AL
  • NPI 1619159316
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494

  Hospital

  Care Compare affiliation
• Mid-South Home Health Agency, LLC

  • Home Health Agency
  • Enterprise, AL
  • NPI 1174552939
  Care Compare affiliation
• Mizell Memorial Hospital Homecare, LLC

  • Home Health Agency
  • Opp, AL
  • NPI 1033293352
  Care Compare affiliation
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705

  Hospital

  Care Compare affiliation
• QHG of Enterprise Inc

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1003206673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020729",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014754",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Gabrielson Dye, PA-C
• Dynamic Pain & Wellness LLC
• Earl C. Jones, Inc
• Joseph Easley, MS
• Michelle Ebrahim, OD
• Treva T Eddleman, RDN
• Edge Pine Inc
• Brittney H Edge, CRNP
• Edgewater Pain and Wellness LLC
• Allison Edwards, OT

• All providers in Dothan, AL
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.