Individual provider Active NPI

Jason McKinley Wilkes, M.D.

  • Gastroenterology Physician
  • Florence, AL
National Provider Identifier
1083657688
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00022890 Issued in AL
Practice address
416 N. Seminary Street
Ste 3100
Florence, AL 35630
Phone
(256) 766-8667
Fax
(256) 767-5327
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00022890 AL Primary

Addresses

Primary practice location

416 N. Seminary Street
Ste 3100
Florence, AL 35630

Mailing address

416 N. Seminary Street
Suite 3100
Florence, AL 35630
Phone (256) 766-8667

Other identifiers 5

IdentifierTypeStateIssuer
051521216MedicaidAL
51521216OtherALBCBS/AL
51521216MedicaidAL
P00162975OtherALPALMETTO GBA
4042119OtherTNBCBS/TN

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
I20040611001122 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 8325021058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

416 N Seminary St
Suite 2000
Florence, AL 35630-6432
Phone (256) 740-3999

416 N Seminary St
Suite 3100
Florence, AL 35630-6408
Phone (256) 766-8667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy480
Upper gastrointestinal (GI) endoscopy for acid reflux520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00022890ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nwa Infusion CurrentSince Feb 26, 2024 Accepting new patients
Ecm Health Group LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

416 N Seminary St
Ste 3100
Florence, AL 35630
Phone (256) 766-8667

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

416 N Seminary St
Ste 2000
Florence, AL 35630
Phone (256) 740-3999

203 Avalon Ave
Ste 240
Muscle Shoals, AL 35661
Phone (256) 386-4969

Interoperability endpoints

  • Direct secure messaging: jason.wilkes.1@6269.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1083657688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N. SEMINARY STREET",
            "address_2": "SUITE 3100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-766-8667",
            "fax_number": "256-767-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N. SEMINARY STREET",
            "address_2": "STE 3100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-766-8667",
            "fax_number": "256-767-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "JASON",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00022890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051521216",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/AL",
            "identifier": "51521216",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51521216",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00162975",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/TN",
            "identifier": "4042119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.