Jerry Gregory Adderholt Jr., MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

19765 Issued in AL

Practice address

426 East Dr.Hicks Blvd
Florence, AL 35630-6625

Phone

(256) 764-7721

Fax

(256) 764-8589

NPI assigned

Jun 16, 2006

Last updated

May 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

University of Mississippi School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Alabama Neuroservices LLCGroup PAC ID 4789826348, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Alabama Medical Center Hospital, Florence, AL, CCN 010006
• North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• FL PPO

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25484/brand/1/csg/1/fhir/r4
• Direct secure messaging: jerry.adderholt.1@6269.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Alabama Neuroservices LLC

  • Neurological Surgery Physician
  • Florence, AL
  • NPI 1639516339
  Medicare reassignment Care Compare group NPD
• Valley Neurosurgery Inc.

  • Neurological Surgery Physician
  • Florence, AL
  • NPI 1437162633
  Medicare reassignment NPD

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

• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation
• RCHP - Florence LLC

  dba Shoals Hospital

  • General Acute Care Hospital
  • Muscle Shoals, AL
  • NPI 1699096552
  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1013951185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 EAST DOCTOR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306625",
            "telephone_number": "256-764-7721",
            "fax_number": "256-764-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST DR.HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306625",
            "telephone_number": "256-764-7721",
            "fax_number": "256-764-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDERHOLT",
        "first_name": "JERRY",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "19765",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "19765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009999445",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ability Brace & Limb, Inc
• Mahmoud Emadeldin Abodorra, M.D.
• Homer G Adams, PHD
• Lindsay Adams, PT, DPT
• Aimee Kitchens Aday, PHARMD
• Addiction & Mental Health Services Inc (Bradford Health Services)
• Addiction & Mental Health Services, LLC
• Oluwole Muyiwa Adegbala, M.D., MPH
• Ayodeji Olatunde Adeoya, M.D
• Ibimina Adeoya, MD

• Neurological Surgery Physician in Florence, AL
• Providers in Florence, AL by specialty
• Neurological Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.