Active NPI
Jeffrey St. John
- Ophthalmology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 39380
- Practice address
- 601 Providence Park Dr E
Mobile, AL 36695-4617 - Phone
- (251) 650-2020
- Fax
- (251) 650-1010
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 39380 | AL | Primary |
Addresses
Primary practice location
601 Providence Park Dr E
Mobile, AL 36695-4617
Mailing address
35 W Lourando Dr
Mobile, AL 36606-2443
Phone (251) 767-2380
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200727002467 | AL | Practitioner - Ophthalmology | 5890119671 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of South Alabama College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay Eyes Cataract and Laser Center Inc
Practice addresses (Care Compare)
601 Providence Park Dr E
Mobile, AL 36695-4617
Phone (251) 990-3937
Hospital & facility affiliations
- USA Health HCA Providence Hospital, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.55 of 100
- Quality
- 86
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 280 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Eyes Cataract and Laser Center, Inc. | Current | Accepting new patients |
Locations
27961 US Highway 98
Daphne, AL 36526
Phone (251) 435-6850
411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027
601 Providence Park Dr E
Mobile, AL 36695
Phone (251) 650-2020
Networks
- TN PPO
- MS PPO
- MS PPO C-SNP
- FL HMO D-SNP
- FL PPO
- MS PPO D-SNP
Interoperability endpoints
- jstjohn@segal.intellechartdirect.net
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1013370832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W LOURANDO DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062443",
"telephone_number": "251-767-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PROVIDENCE PARK DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954617",
"telephone_number": "251-650-2020",
"fax_number": "251-650-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JOHN",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "39380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.