Jeremy Robert Austin, M.D.
Individual provider Active NPI Family Medicine Physician · Redding, CA
NPI 1104849140 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1104849140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A74451 (CA)
- Practice address
- 1093 Hilltop Dr
Redding, CA 96003-3811 - Phone
- (530) 410-6283
- Fax
- (530) 221-3912
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical University of South Carolina College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Docs Medical Group Inc
Shingletown Medical Center
Morrow County Health District
Practice addresses (Care Compare)
100 E Cypress Ave
Redding, CA 96002-0162
Phone (530) 722-1111
31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Phone (530) 474-3390
564 Pioneer Dr
Heppner, OR 97836-7318
Phone (503) 676-9133
Hospital & facility affiliations
- Pioneer Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827001128 | CA | Practitioner - Emergency Medicine |
5395710867 | Reassigns benefits to 6 organizations |
| I20251113001333 | OR | Practitioner - Family Practice | 5395710867 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74451 | CA | MD | Pharmacist |
| A74451 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrow County Health District | Current |
Accepting new patients | |
| Team Physicians of California Medical Group Inc | Current |
Accepting new patients | |
| Glenn Medical Center, LLC | Current | Accepting new patients | |
| Glenn Medical Center, LLC | Current |
Accepting new patients | |
| Glenn Medical Center, LLC | Current |
Accepting new patients | |
| Morrow County Health District | Current | Accepting new patients | |
| Sierra ER Department Physicians Medical Group Inc. | Current |
Accepting new patients | |
| Mayers Memorial Hospital District | Current |
Accepting new patients | |
| Morrow County Health District | Current |
Accepting new patients | |
| Bakersfield Memorial Hospital | Past |
Accepting new patients | |
| Willows Family Practice, Inc. | Family Medicine | Past |
Accepting new patients |
| Colusa Emergency Physicians Medical Group, Inc. | Past | Accepting new patients | |
| Everyday Family Surgical Medical | Family Medicine | Past | Accepting new patients |
Locations
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800
Interoperability endpoints
- jeremyaustin@shingletow.allscriptsdirect.net
- https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
- https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A74451 | CA | Yes |
Addresses
Primary practice location
1093 Hilltop Dr
Redding, CA 96003-3811
Mailing address
PO Box 661972
Arcadia, CA 91066-1972
Phone (530) 410-6283
Other practice location 1
31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Phone (530) 474-3390
Other providers in Redding, CA
- Bethany Ault
- Khin Nyein Chan Aung
- Than T Aung
- Aurora Midwifery LLC
- Christine E Austin
- Karen Kay Avantino
- Jovita Avila
- Crystal Rachele Awbrey
- Mah Azah Awoh
- Ruth Awori Awori
All providers in Redding, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.