Individual provider Active NPI

Jenna Nell Stanford

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1063090439
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
45204 Issued in AL
Practice address
3595 Grandview Pkwy Ste 300
Birmingham, AL 35243-1927
Phone
(205) 933-8334
Fax
(205) 278-4538
NPI assigned
Mar 29, 2021
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 45204 AL Primary

Addresses

Primary practice location

3595 Grandview Pkwy Ste 300
Birmingham, AL 35243-1927

Mailing address

3595 Grandview Pkwy Ste 300
Birmingham, AL 35243-1927
Phone (205) 933-8334

Other practice location 1

2321 John Hawkins Pkwy Ste 213
Hoover, AL 35244-3543
Phone (205) 933-8334

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
I20250828004166 AL Practitioner - Obstetrics/Gynecology 2062913213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Obstetrics Gynecology, PCGroup PAC ID 9638068695, 15 clinicians

Practice addresses (Care Compare)

3595 Grandview Pkwy
Suite 300
Birmingham, AL 35243-1927
Phone (205) 933-8334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45204ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Obstetrics Gynecology, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Heart of the Valley Pediatrics PC PastSince May 18, 2025 Accepting new patients

Locations

800 Saint Vincents Dr
#500888888888888888888888888888888
Birmingham, AL 35205

3595 Grandview Pkwy
Ste 300
Birmingham, AL 35243
Phone (205) 558-9389

800 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 271-5663

2321 John Hawkins Pkwy
Ste 213
Hoover, AL 35244
Phone (205) 510-9597

7201 Happy Hollow Rd
Ste 200
Trussville, AL 35173
Phone (205) 506-6224

5890 Valley Rd
Ste 102
Trussville, AL 35235
Phone (205) 933-8334

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400334

Organizations & group practices 2

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 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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1063090439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 GRANDVIEW PKWY STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431927",
            "telephone_number": "205-933-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 GRANDVIEW PKWY STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431927",
            "telephone_number": "205-933-8334",
            "fax_number": "205-278-4538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 John Hawkins Pkwy Ste 213",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443543",
            "country_code": "US",
            "telephone_number": "205-933-8334",
            "fax_number": "205-278-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "JENNA",
        "middle_name": "NELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "45204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.