Individual provider Active NPI

Jody St.Clair, PA-C

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1154508984
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-566 Issued in AL
Practice address
817 Princeton Ave SW
Pob II Ste. 306
Birmingham, AL 35211-1333
Phone
(205) 783-0160
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-566 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW
Pob II Ste. 306
Birmingham, AL 35211-1333

Mailing address

817 Princeton Ave SW
Pob II, Suite 306
Birmingham, AL 35211-1333
Phone (205) 939-3514

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
I20080326000982 AL Practitioner - Physician Assistant 8921184201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Associates of Birmingham PCGroup PAC ID 1254376825, 4 clinicians

Practice addresses (Care Compare)

5000 Medical W Way
Suite 302
Bessemer, AL 35022-7082
Phone (205) 481-7786

817 Princeton Ave SW
Suite 306
Birmingham, AL 35211-1349
Phone (205) 783-0160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.98 of 100Reported as group
Quality
74.32
Promoting interoperability
100
Improvement activities
40
Cost
82.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
566ALMDRegistered Respiratory Therapist
PA-566ALMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jstclair15001@baptisthealthaldirect.org

Organizations & group practices 1

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 2

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1154508984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "POB II, SUITE 306",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333",
            "telephone_number": "205-939-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "POB II STE. 306",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333",
            "telephone_number": "205-783-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.CLAIR",
        "first_name": "JODY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.