Individual provider Active NPI

Jessica Williams Vincent, M.D.

  • Neurology Physician
  • Anniston, AL
National Provider Identifier
1124255591
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.30714 Issued in AL
Practice address
901 Leighton Ave
Anniston, AL 36207-5700
Phone
(256) 236-1303
Fax
(256) 236-1386
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.30714 AL Primary

Addresses

Primary practice location

901 Leighton Ave
Anniston, AL 36207-5700

Mailing address

901 Leighton Ave
Anniston, AL 36207-5700
Phone (256) 236-1303

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
I20130820000573 AL Practitioner - Neurology 7416193297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Care Authority of the City of AnnistonGroup PAC ID 3971408923, 41 clinicians

Practice addresses (Care Compare)

901 Leighton Ave
Suite 402
Anniston, AL 36207-5703
Phone (256) 236-1303

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Merit-based Incentive Payment System (MIPS)

Final score
43.64 of 100Reported as individual
Quality
47.16
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston CurrentSince Jul 15, 2013 Accepting new patients
Anniston Pathology Current Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Jul 15, 2013 Accepting new patients
Regional Medical Center Board Neurology Past Accepting new patients

Locations

901 Leighton Ave
Ste 402
Anniston, AL 36207
Phone (256) 235-5006

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

Interoperability endpoints

  • Direct secure messaging: jessica.vincent.1@15682.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

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 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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1124255591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-236-1303",
            "fax_number": "256-236-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075700",
            "telephone_number": "256-236-1303",
            "fax_number": "256-236-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JESSICA",
        "middle_name": "WILLIAMS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "MD.30714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.