Jonathan Gregg McConnell, STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2105 E South Blvd
Montgomery, AL 36116-2409

Phone

(334) 288-2100

NPI assigned

Apr 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• University of Alabama in Huntsville

  • Primary Care Clinic/Center
  • Huntsville, AL
  • NPI 1144961293

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1114509643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 LIBERTY LAKE DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427547",
            "telephone_number": "205-532-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173511",
            "country_code": "US",
            "telephone_number": "334-277-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360673619",
            "country_code": "US",
            "telephone_number": "334-365-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JONATHAN",
        "middle_name": "GREGG",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgm0014@uah.edu",
            "affiliation": "Y",
            "endpointDescription": "UAH (school) email address",
            "affiliationName": "The University of Alabama in Huntsville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 Sparkman Dr NW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358051911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joe D McClinton, M.D.
• Joel McCloud Jr., M.D.
• Serena Bishop McCluskie, PA
• Deborah Lynn McCollum, FNP
• Michael Brandon McCollum, DPM
• Melonie McCord-Judkins, MRC, ALC
• Stacey McCorkle, PHARMD
• Angela B. McCormick, MS,RD,LD
• Lindsay Marvelle McCormick, PT
• Roosevelt McCorvey, M.D.

• Student in an Organized Health Care Education/Training Program in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.