Individual provider Active NPI

Jameson Kenerly Ragsdale

  • Pediatrics Physician
  • Trussville, AL
National Provider Identifier
1124768163
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.47235 Issued in AL
Practice address
520 Simmons Dr
Trussville, AL 35173-2367
Phone
(205) 836-8691
Fax
(205) 638-7102
NPI assigned
Mar 29, 2022
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.47235 AL Primary

Addresses

Primary practice location

520 Simmons Dr
Trussville, AL 35173-2367

Mailing address

520 Simmons Dr
Trussville, AL 35173-2367
Phone (205) 836-8691

Other practice location 1

6729 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (205) 681-5377

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
I20220624001405 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315326188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD.47235ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. PastSince Apr 1, 2022 Accepting new patients
The Children's Hospital of Alabama Past Accepting new patients
The Children's Hospital of Alabama Pediatrics Past Accepting new patients

Organizations & group practices 3

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1124768163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SIMMONS DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732367",
            "telephone_number": "205-836-8691",
            "fax_number": "205-638-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SIMMONS DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732367",
            "telephone_number": "205-836-8691",
            "fax_number": "205-638-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6729 Deerfoot Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pinson",
            "state": "AL",
            "postal_code": "351263093",
            "country_code": "US",
            "telephone_number": "205-681-5377",
            "fax_number": "205-638-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "JAMESON",
        "middle_name": "KENERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.47235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.