Individual provider Active NPI

Jerill Thomas, M.D,

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1063483378
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22507 Issued in AL
Practice address
850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone
(205) 348-1770
Fax
(205) 348-5145
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22507 AL Primary

Addresses

Primary practice location

850 5TH Ave E
Tuscaloosa, AL 35401-7419

Mailing address

850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Other identifiers 1

IdentifierTypeStateIssuer
009981485MedicaidAL

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
I20050207000268 AL Practitioner - Family Practice 6800847997 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22507ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCH Provider Services, LLC Internal Medicine Current Accepting new patients
NWMC Winfield Physicians LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Fayette Medical Center CurrentSince Apr 13, 2024 Accepting new patients
DCH Provider Services, LLC CurrentSince Jul 26, 2021 Accepting new patients
Steve R Lovelady MD LLC Current Accepting new patients
DCH Provider Services, LLC CurrentSince Jul 26, 2021 Accepting new patients
Fayette Medical Center Past Accepting new patients
Fayette Medical Center Past Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1325 McFarland Blvd
Ste 104
Northport, AL 35476
Phone (205) 330-5266

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • Direct secure messaging: curjthoma@yourcarecommunity.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063483378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 5TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 5TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JERILL",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981485",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.