Individual provider Active NPI

Jeffrey Darrell Wade, M. D.

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1114967775
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.15806 Issued in AL
Practice address
3686 Grandview Pkwy Ste 510
Birmingham, AL 35243-3509
Phone
(205) 971-1750
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.15806 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 510
Birmingham, AL 35243-3509

Mailing address

3686 Grandview Pkwy Ste 510
Birmingham, AL 35243-3509
Phone (205) 971-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.wade.1@9954.direct.athenahealth.com

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
I20100907000809 AL Practitioner - Orthopedic Surgery 5395719835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

3686 Grandview Pkwy
Suite 510
Birmingham, AL 35243-3509
Phone (205) 971-3356

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

5000 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (659) 241-0200

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion204
Laminectomy or laminotomy (partial removal of spine bones)150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.15806ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Dec 10, 2018 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 510
Birmingham, AL 35243
Phone (205) 971-1750

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

3525 Independence Dr
Homewood, AL 35209
Phone (205) 802-6700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: jeffrey.wade.1@9954.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 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1114967775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433509",
            "telephone_number": "205-971-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433509",
            "telephone_number": "205-971-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JEFFREY",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.15806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.wade.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 510",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.