Active NPI
Jonathon Tyler Baccus, M.D.
- Internal Medicine Physician
- Bessemer, AL
National Provider Identifier
1154700722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.36732
- Practice address
- 915 Medical Center Dr
Bessemer, AL 35022-6025 - Phone
- (205) 481-8664
- Fax
- (205) 481-8665
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.36732 | AL | Primary |
Addresses
Primary practice location
915 Medical Center Dr
Bessemer, AL 35022-6025
Mailing address
915 Medical Center Dr
Bessemer, AL 35022-6025
Other practice location 1
833 Princeton Ave SW
Suite 200C
Birmingham, AL 35211-1321
Phone (205) 592-1406
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | baccus.jonathan@direct.uabmw.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180619003683 | AL | Practitioner - Internal Medicine | 2365797172 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capstone Health Services Foundation PC
Practice addresses (Care Compare)
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
Hospital & facility affiliations
- Amedisys Home Health of Tuscaloosa
- DCH Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| The DCH Healthcare Authority | Past | Accepting new patients |
Locations
833 Princeton Ave SW
Ste 200C
Birmingham, AL 35211
Phone (205) 502-4400
801 Princeton Ave SW
Ste 229
Birmingham, AL 35211
Phone (205) 783-3505
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
Interoperability endpoints
- jonathon.baccus.p1@direct.umc.nextgenshare.com
Organizations & group practices 5
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.
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Neurology Physician
- Tuscaloosa, AL
- NPI 1255212353
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northport, AL
- NPI 1093773319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1154700722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 MEDICAL CENTER DR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350226025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MEDICAL CENTER DR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350226025",
"telephone_number": "205-481-8664",
"fax_number": "205-481-8665"
}
],
"practiceLocations": [
{
"address_1": "833 PRINCETON AVE SW",
"address_2": "SUITE 200C",
"address_purpose": "LOCATION",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111321",
"country_code": "US",
"telephone_number": "205-592-1406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACCUS",
"first_name": "JONATHON",
"middle_name": "TYLER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.36732",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "baccus.jonathan@direct.uabmw.org",
"affiliation": "N",
"address_1": "915 Medical Center Dr",
"city": "Bessemer",
"state": "AL",
"country_code": "US",
"postal_code": "350226025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.