Individual provider Active NPI

Jeffrey W Collins, MD

  • Specialist
  • Anniston, AL
National Provider Identifier
1114982956
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21700 Issued in AL
Practice address
901 Leighton Ave
Suite 501
Anniston, AL 36207-5765
Phone
(256) 237-6755
Fax
(256) 236-1823
NPI assigned
Apr 17, 2006
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21700 AL Primary
Gynecology Physician 207VG0400X 21700 AL
Obstetrics Physician 207VX0000X 21700 AL

Addresses

Primary practice location

901 Leighton Ave
Suite 501
Anniston, AL 36207-5765

Mailing address

901 Leighton Ave
Suite 501
Anniston, AL 36207-5765
Phone (256) 237-6755

Other identifiers 2

IdentifierTypeStateIssuer
051503974MedicaidAL
218370MedicaidAL

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
I20061213000583 AL Practitioner - Obstetrics/Gynecology 5193724441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anniston OBGYN Associates, P.C.Group PAC ID 1658322169, 4 clinicians

Practice addresses (Care Compare)

901 Leighton Ave
Suite 501
Anniston, AL 36207-5765
Phone (256) 237-6755

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21700ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Anniston LLC CurrentSince Apr 8, 2013 Accepting new patients
Obhg Alabama, P.C. CurrentSince Jul 31, 2023 Accepting new patients
The Health Care Authority of the City of Anniston Past Accepting new patients
The Health Care Authority of the City of Anniston PastSince Aug 1, 2012 Accepting new patients
Caroline a Reich MD PC PastSince Jun 2, 2024 Accepting new patients

Locations

901 Leighton Ave
Ste 102
Anniston, AL 36207
Phone (256) 237-5303

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1114982956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 501",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075765",
            "telephone_number": "256-237-6755",
            "fax_number": "256-236-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "SUITE 501",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075765",
            "telephone_number": "256-237-6755",
            "fax_number": "256-236-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-05-31",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "21700",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "21700",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "21700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051503974",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.