Active NPI
John Michael Nipper, M.D.
- Nephrology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 24016
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051501866 | Medicaid | AL | |
| 51501866 | Other | AL | BCBS |
| 051501866 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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)
- Mobile Infirmary Medical Center
- USA Health HCA Providence Hospital, LLC
- Springhill Medical Center
- George Regional Health System
- Grove Hill Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24016 | AL | MD | Graphics Designer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Vascular Labs LLC | Current | Accepting new patients | |
| Nephrology Associates of Mobile, P.a. | Current | 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
- jmichael.nipper.p213@direct.aac.nextgenshare.com
- 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.
-
- Nephrology Physician
- Mobile, AL
- NPI 1124354501
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroeville, AL
- NPI 1972615706
Dialysis facility
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.