Individual provider Active NPI

Jeffrey St. John

  • Ophthalmology Physician
  • Mobile, AL
National Provider Identifier
1013370832
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39380 Issued in AL
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

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 18 clinicians

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 Hospital, Mobile, AL, CCN 010090

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
86
Promoting interoperability
100
Improvement activities
40
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery280

National Provider Directory

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

Practice roles (1 of 7)

OrganizationSpecialtyStatusNew patients
Bay Eyes Cataract and Laser Center, Inc. CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.