Organization Active NPI

James F Zumstein MD LLC

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1013021021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00017633 Issued in AL
Legal business name
JAMES F ZUMSTEIN MD LLC
Practice address
1810 Stadium Drive
Suite 230
Phenix City, AL 36867-3100
Phone
(334) 664-0219
Fax
(334) 664-0224
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doris Jean Cannon
Title
Office Mananger
Phone
(334) 664-0219

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 037931 GA
Family Medicine Physician 207Q00000X 00017633 AL Primary

Addresses

Primary practice location

1810 Stadium Drive
Suite 230
Phenix City, AL 36867-3100

Mailing address

1810 Stadium Drive
Suite 230
Phenix City, AL 36867-3100
Phone (334) 664-0219

Other identifiers 3

IdentifierTypeStateIssuer
51515341ZUMOtherALBCBS
52580378-001OtherGABCBS
P00009293OtherPALMETTO MEDICARE RAILROA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080415000502 GA Part B Supplier - Clinic/Group Practice 8123106267 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA
O20090617000449 AL Part B Supplier - Clinic/Group Practice 8123106267 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1011377James F Zumstein MD LLC1810 Stadium Drive Suite 230, Phenix City, AL 36867Provider-performed microscopyApr 7, 2027

National Provider Directory

National Provider Directory

Locations

1810 Stadium Dr
Ste 230
Phenix City, AL 36867
Phone (334) 291-8300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013021021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DRIVE",
            "address_2": "SUITE 230",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673100",
            "telephone_number": "334-664-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DRIVE",
            "address_2": "SUITE 230",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673100",
            "telephone_number": "334-664-0219",
            "fax_number": "334-664-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F ZUMSTEIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "334-664-0219"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037931",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00017633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51515341ZUM",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52580378-001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE RAILROA",
            "identifier": "P00009293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.