Individual provider Active NPI

John Michael Nipper, M.D.

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1083690465
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24016 Issued in AL
Practice address
124A South University Blvd.
Mobile, AL 36608
Phone
(251) 343-5004
Fax
(251) 343-8383
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Graphics Designer 1744G0900X 24016 AL
Nephrology Physician 207RN0300X 24016 AL Primary

Addresses

Primary practice location

124A South University Blvd.
Mobile, AL 36608

Mailing address

P.O. Box 850849
Mobile, AL 36685-0849
Phone (251) 343-5004

Other identifiers 3

IdentifierTypeStateIssuer
0051501866MedicaidAL
51501866OtherALBCBS
051501866MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100223000013 AL Practitioner - NephrologyPractitioner - Neurology 1850398280 Reassigns benefits to 2 organizations
I20190725001828 MS Practitioner - Nephrology 1850398280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians
Mobile Vascular Labs LLCGroup PAC ID 0143361519, 4 clinicians

Practice addresses (Care Compare)

124 S University Blvd
Suite a
Mobile, AL 36608-3078

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 433-1180

676 S Alabama Ave
Monroeville, AL 36460-2536
Phone (251) 343-5004

919 Winter St
Lucedale, MS 39452-5767
Phone (251) 410-8272

Hospital & facility affiliations

  • FMC Monroeville (Whetstone) Dialysis facility, Monroeville, AL, CCN 012540
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24016ALMDGraphics Designer

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vascular Labs LLC CurrentSince Nov 23, 2009 Accepting new patients
Nephrology Associates of Mobile, P.a. CurrentSince Jul 1, 2001 Accepting new patients

Locations

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272

Interoperability endpoints

  • Direct secure messaging: jmichael.nipper.p213@direct.aac.nextgenshare.com
  • Direct secure messaging: jnipper26302@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1083690465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 850849",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850849",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124A SOUTH UNIVERSITY BLVD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPPER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744G0900X",
            "taxonomy_group": "",
            "desc": "Specialist, Graphics Designer",
            "state": "AL",
            "license": "24016",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "24016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051501866",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51501866",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501866",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.