Individual provider Active NPI

Jamie Danielle Oubre, NP-C

  • Family Nurse Practitioner
  • Phenix City, AL
National Provider Identifier
1144859224
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143905 Issued in AL
Practice address
5009 Riverchase Dr Ste 500
Phenix City, AL 36867-7490
Phone
(334) 448-9505
NPI assigned
Apr 2, 2020
Last updated
Feb 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-143905 AL Primary

Addresses

Primary practice location

5009 Riverchase Dr Ste 500
Phenix City, AL 36867-7490

Mailing address

3335 Hamilton Rd
Lagrange, GA 30241-8716
Phone (706) 577-2406

Other practice location 1

3335 Hamilton Rd
LaGrange, GA 30241-8716
Phone (706) 577-2406

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127001057 AL Practitioner - Nurse Practitioner 9739593187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490
Phone (334) 448-9505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143905ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Chattahoochee Valley Family PastSince Jan 13, 2003 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303

5009 Riverchase Dr
Ste 500
Phenix City, AL 36867
Phone (334) 448-9505

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.

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1144859224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 HAMILTON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302418716",
            "telephone_number": "706-577-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR STE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677490",
            "telephone_number": "334-448-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3335 Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302418716",
            "country_code": "US",
            "telephone_number": "706-577-2406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "JAMIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.