Individual provider Active NPI

Jenny Oakes Sobera, MD

  • Dermatology Physician
  • Mountain BRK, AL
National Provider Identifier
1063460343
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.24170 Issued in AL
Practice address
2900 Cahaba Rd
Mountain BRK, AL 35223-1937
Phone
(205) 877-9773
Fax
(205) 877-9775
NPI assigned
May 5, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.24170 AL Primary

Addresses

Primary practice location

2900 Cahaba Rd
Mountain BRK, AL 35223-1937

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (205) 877-9773

Other practice location 2

430 Fieldstown Rd Ste 104
Gardendale, AL 35071-2458
Phone (205) 877-9773

Other practice location 3

14 Office Park Cir
Mountain Brk, AL 35223-2563
Phone (205) 877-9773

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jsobera@villagedermatology.emadirect.md
Direct Messaging Address jsobera@villagedermatology.emadirect.md
Direct Messaging Address jsobera@villagedermatology.emadirect.md
Direct Messaging Address jsobera@villagedermatology.emadirect.md

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
I20060913000397 AL Practitioner - Dermatology 6507860194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2900 Cahaba Rd
Mountain BRK, AL 35223-1937
Phone (205) 877-9773

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions99
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.24170ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Mar 25, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Mar 25, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Christ Health Center Inc PastSince Jan 1, 2023 Accepting new patients

Locations

202 Rock Creek Pkwy
Fairhope, AL 36532
Phone (251) 928-3844

430 Fieldstown Rd
Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

14 Office Park Cir
Mountain Brk, AL 35223
Phone (205) 877-9773

2900 Cahaba Rd
Mountain Brk, AL 35223
Phone (205) 572-4901

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: jsobera@villagedermatology.emadirect.md

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christ Health Center IncBirmingham, AL, CCN 011047 Federally qualified health center Corporate Director Jan 1, 2023
Christ Health Center IncBirmingham, AL, CCN 011122 Federally qualified health center Corporate Director Oct 11, 1972
Christ Health PediatricsBirmingham, AL, CCN 011121 Federally qualified health center Corporate Director Feb 17, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1063460343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAHABA RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231937",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Gilbreath Dr",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351212827",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Fieldstown Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712458",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Office Park Cir",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352232563",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBERA",
        "first_name": "JENNY",
        "middle_name": "OAKES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.24170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsobera@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2900 Cahaba Rd",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352231937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsobera@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "150 Gilbreath Dr",
            "city": "Oneonta",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351212827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsobera@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "430 Fieldstown Rd Ste 104",
            "city": "Gardendale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350712458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsobera@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "14 Office Park Cir",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352232563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.