Organization Active NPI

North Jefferson Internal Medicine

  • Internal Medicine Physician
  • Fultondale, AL
National Provider Identifier
1124139282
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH JEFFERSON INTERNAL MEDICINE
Practice address
2619 Decatur Hwy
Fultondale, AL 35068-1723
Phone
(205) 841-9898
Fax
(205) 841-9880
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Greg Hill., M.D.
Title
Owner
Phone
(205) 841-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2619 Decatur Hwy
Fultondale, AL 35068-1723

Mailing address

2619 Decatur Hwy
Fultondale, AL 35068-1723
Phone (205) 841-9898

Other identifiers 2

IdentifierTypeStateIssuer
529910230MedicaidAL
I635OtherALMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2619 Decatur Hwy
Fultondale, AL 35068
Phone (205) 631-7301

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1124139282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681723",
            "telephone_number": "205-841-9898",
            "fax_number": "205-841-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681723",
            "telephone_number": "205-841-9898",
            "fax_number": "205-841-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JEFFERSON INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HILL.",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-841-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I635",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fultondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.