Jeffrey William Allman, D.O.
Individual provider Active NPI Emergency Medicine Physician · Dothan, AL
NPI 1104890995 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1104890995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DO.447 (AL)
- Practice address
- 4370 W Main St
Dothan, AL 36305 - Phone
- (334) 793-5000
- Fax
- (334) 615-8419
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Resources Management, Inc.
Practice addresses (Care Compare)
102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone 33473821401429
Hospital & facility affiliations
- Andalusia Health
- Atmore Community Hospital
- Mizell Memorial Hospital
- D W McMillan Memorial Hospital
- Bullock County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AL
- 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 |
|---|---|---|---|---|
| I20040120000536 | FL | Practitioner - Emergency Medicine |
2860393063 | Reassigns benefits to 2 organizations |
| I20041014000834 | AL | Practitioner - Family Practice |
2860393063 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 447 | AL | MD | Mental Health Counselor |
| DO.447 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WH Services Brewton LLC | Emergency Medicine | Current |
Accepting new patients |
| Troy Regional Physicians Inc. | Current |
Accepting new patients | |
| WH Services Atmore LLC | Emergency Medicine | Current |
Accepting new patients |
| Santa Rosa HB Medical Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Newgen Alabama Billing LLC | Emergency Medicine | Current |
Accepting new patients |
| Flowers HB Medical Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Troy Regional Physicians Inc | Current |
Accepting new patients | |
| Floridian Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Professional Resources Management, Inc. | Current |
Accepting new patients | |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ies Alabama PLLC | Emergency Medicine | Current |
Accepting new patients |
| Moore Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Tanner Medical Center Alabama Inc | Past | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
664 Veterans Blvd
Brundidge, AL 36010
Phone (334) 536-1001
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
102 Conecuh Ave W
Union Springs, AL 36089
Phone (334) 386-0378
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761
Interoperability endpoints
- jallman66085@directinfirmaryhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO.447 | AL | Yes |
Addresses
Primary practice location
4370 W Main St
Dothan, AL 36305
Mailing address
PO Box 6907
Dothan, AL 36302
Phone (334) 793-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051515768 | Medicaid | AL | |
| 263894100 | Other | FLORIDA MEDICAID | |
| 51527560 | Other | AL | BCBS OF ALABAMA |
| P00055566 | Other | RAILROAD MEDICARE | |
| 1645702 | Other | LA | MEDICAID |
| 000833764E | Other | GEORGIA MEDICAID |
NPI Registry JSON
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1104890995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6907",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36302",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36305",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLMAN",
"first_name": "JEFFREY",
"middle_name": "WILLIAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "DO.447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051515768",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAID",
"identifier": "263894100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51527560",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00055566",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1645702",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAID",
"identifier": "000833764E",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Allen & Stump
- Michael Aaron Allen
- Robert F Allen
- Sara Hilton Allen
- Allen'S Pharmacy
- Allsouth Urgent Care Clinic, Inc.
- Alpha Dental
- Alpha-1 Home Health Services LLC
- Nourallah Alsayed
- Aseel Basil Alshaer
All providers in Dothan, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. 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.