Individual provider Active NPI

James O Devaney Jr., M.D.

  • Family Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1124188610
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AL7674 Issued in AL
Practice address
2002 McMillan Ave
Bay Minette, AL 36507-4134
Phone
(251) 937-7796
Fax
(251) 937-1250
NPI assigned
Dec 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL7674 AL Primary

Addresses

Primary practice location

2002 McMillan Ave
Bay Minette, AL 36507-4134

Mailing address

2002 McMillan Ave
Bay Minette, AL 36507-4134
Phone (251) 937-7796

Other identifiers 1

IdentifierTypeStateIssuer
000030810MedicaidAL

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
I20091005000083 AL Practitioner - Family Practice 1355487489 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL7674ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine Current Accepting new patients
Franklin Primary Health Center Inc Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Imc - Hand Ave Family Practice P.C. Family Medicine Past Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124188610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134",
            "telephone_number": "251-937-7796",
            "fax_number": "251-937-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134",
            "telephone_number": "251-937-7796",
            "fax_number": "251-937-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANEY",
        "first_name": "JAMES",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL7674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030810",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.