Individual provider Active NPI

Jason C Junkins, M.D.

  • Internal Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1114928512
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21962 Issued in AL
Practice address
115 W Grand Ave
Ste 90
Rainbow City, AL 35906-3275
Phone
(256) 459-4987
Fax
(256) 459-4980
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21962 AL Primary

Addresses

Primary practice location

115 W Grand Ave
Ste 90
Rainbow City, AL 35906-3275

Mailing address

115 W Grand Ave
Ste 90
Rainbow City, AL 35906-3275
Phone (256) 459-4987

Other identifiers 1

IdentifierTypeStateIssuer
51523075OtherALBLUECROSS/BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000900 AL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0143131979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

150 Tompkins St
Heflin, AL 36264-1836
Phone (256) 568-8818

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954-3338
Phone (256) 344-0065

Hospital & facility affiliations

  • Acg Hospice-Gardendale Hospice, Gardendale, AL, CCN 011591
  • Infinity Hospice, LLC Dba Acg Hospice - Carthage Hospice, Carthage, MS, CCN 251708
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Sep 1, 2016 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Dec 14, 2009 Accepting new patients
Gadsden Regional Physician Group Practice LLC Internal Medicine CurrentSince Jun 1, 2009 Accepting new patients
Matrix Labs CurrentSince Nov 18, 2020 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Dec 14, 2009 Accepting new patients
Lifehealth, P.C. Past Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Acsh Primary Care of Alabama, LLC Internal Medicine Past Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGAD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Acg HospiceCarthage, MS, CCN 251708 Hospice Contracted Managing Employee Aug 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 4

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1114928512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W GRAND AVE",
            "address_2": "STE 90",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063275",
            "telephone_number": "256-459-4987",
            "fax_number": "256-459-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W GRAND AVE",
            "address_2": "STE 90",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063275",
            "telephone_number": "256-459-4987",
            "fax_number": "256-459-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKINS",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "51523075",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.