NPIMap

Individual provider Active NPI

Jama Lorynn Peacock Birsett, M.D.

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1003859331
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
239931 Issued in NY
Practice address
68 West Ave Ste 3
Saratoga Springs, NY 12866-6044
Phone
(518) 450-9180
Fax
(518) 886-1690
NPI assigned
Jun 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239931 NY Primary

Addresses

Primary practice location

68 West Ave Ste 3
Saratoga Springs, NY 12866-6044

Mailing address

PO Box 159
Greenfield Center, NY 12833-0159
Phone (518) 450-9180

Other practice location 1

16 Danforth St
Hoosick Falls, NY 12090-1226
Phone (518) 686-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000021 NY Practitioner - Family Practice 0143225409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Rivers Medical PCGroup PAC ID 6406123405, 17 clinicians

Practice addresses (Care Compare)

16 Danforth St
Hoosick Falls, NY 12090-1226
Phone (518) 686-5770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC CurrentSince Apr 3, 2017 Accepting new patients
Twin Rivers Medical PC Family Medicine CurrentSince Apr 3, 2017 Accepting new patients
Saratoga Emergency Physicians, PC Past Accepting new patients
Greenfield Country Medicine Family Medicine PastSince Aug 1, 2006 Accepting new patients

Locations

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003859331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128330159",
            "telephone_number": "518-450-9180",
            "fax_number": "518-886-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WEST AVE STE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666044",
            "telephone_number": "518-450-9180",
            "fax_number": "518-886-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Danforth St",
            "address_purpose": "LOCATION",
            "city": "Hoosick Falls",
            "state": "NY",
            "postal_code": "120901226",
            "country_code": "US",
            "telephone_number": "518-686-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK BIRSETT",
        "first_name": "JAMA",
        "middle_name": "LORYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.