Individual provider Active NPI

Jennifer Rozzelle Fleming, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1154798213
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-100198 Issued in AL
Practice address
102 Doctors Dr
Dothan, AL 36301-2911
Phone
(334) 793-8804
Fax
(334) 699-4473
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 1-100198 AL Primary

Addresses

Primary practice location

102 Doctors Dr
Dothan, AL 36301-2911

Mailing address

102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-8804

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
I20151014000384 AL Practitioner - Nurse Practitioner 6002125010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Neurospine and Vascular Institute LLCGroup PAC ID 8123515582, 3 clinicians

Practice addresses (Care Compare)

102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573

1118 Ross Clark Cir
Suite 704
Dothan, AL 36301-3030
Phone (334) 824-3098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-100198ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority CurrentSince Sep 30, 2017 Accepting new patients
Elite Neurospine & Vascular Institute LLC CurrentSince Sep 2, 2025 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 704
Dothan, AL 36301
Phone (334) 794-5335

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jfortson@yourcarecommunity.org

Organizations & group practices 6

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 3

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1154798213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DOCTORS DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012911",
            "telephone_number": "334-793-8804",
            "fax_number": "334-699-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DOCTORS DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012911",
            "telephone_number": "334-793-8804",
            "fax_number": "334-699-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JENNIFER",
        "middle_name": "ROZZELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-100198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.