Individual provider Active NPI

Jada Jones, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1093364226
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-126714 Issued in AL
Practice address
408 Clark St NE
Cullman, AL 35055-1953
Phone
(205) 727-9440
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-126714 AL Primary

Addresses

Primary practice location

408 Clark St NE
Cullman, AL 35055-1953

Mailing address

408 Clark St NE
Cullman, AL 35055-1953
Phone (205) 727-9440

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000441 AL Practitioner - Nurse Practitioner 6800238502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-126714ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince May 6, 2024 Accepting new patients
Hope Hospice, LLC PastSince Nov 5, 2023 Accepting new patients

Locations

3915 Veterans Memorial Dr
Ste 106
Adamsville, AL 35005
Phone (205) 674-1222

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

408 Clark St NE
Cullman, AL 35055
Phone (256) 734-3202

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: jada.jones.1@15135.direct.athenahealth.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 3

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1093364226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551953",
            "telephone_number": "205-727-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551953",
            "telephone_number": "205-727-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JADA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-126714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.