Individual provider Active NPI

Stanley W. Jett, M.D.

  • Family Medicine Physician
  • Lincoln, AL
National Provider Identifier
1154424695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16060 Issued in AL
Practice address
47344 US Highway 78
Lincoln, AL 35096-6748
Phone
(205) 763-7848
Fax
(205) 763-7235
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 16060 AL Primary

Addresses

Primary practice location

47344 US Highway 78
Lincoln, AL 35096-6748

Mailing address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Phone (205) 715-5910

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
I20031125000191 AL Practitioner - Family Practice 2668376211 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16060ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Baptist Health Centers LLC CurrentSince Dec 31, 2017 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

47344 US Highway 78
Lincoln, AL 35096
Phone (205) 763-7848

48 N Cedars Rd
Munford, AL 36268
Phone (205) 358-4553

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154424695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-715-5910",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47344 US HIGHWAY 78",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966748",
            "telephone_number": "205-763-7848",
            "fax_number": "205-763-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "STANLEY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "16060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, AL

Sources for this page

Verify at the official NPI Registry.