NPIMap

Individual provider Active NPI

Jeffrey D Faggard, M.D

  • Rheumatology Physician
  • Mobile, AL
National Provider Identifier
1164542346
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25661 Issued in AL
Practice address
1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone
(251) 435-1200
Fax
(251) 435-6357
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25661 AL Primary

Addresses

Primary practice location

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407

Mailing address

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone (251) 435-1200

Other identifiers 4

IdentifierTypeStateIssuer
25661OtherALMD LICENSE
511-16668OtherALBCBS
511-16669OtherALBCBS
511-16667OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000294 AL Practitioner - Internal MedicinePractitioner - Rheumatology 1658472022 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care LLCGroup PAC ID 6709146285, 14 clinicians
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1367

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Palm Gardens Health and Rehabilitation, LLC Nursing home, Mobile, AL, CCN 015403
  • Gulf Coast Health and Rehabilitation, LLC Nursing home, Mobile, AL, CCN 015456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25661ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Infirmary Association Current Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Jul 26, 2013 Accepting new patients
Mobile Infirmary Association CurrentSince Jul 1, 2024 Accepting new patients
Gulf Regional Pathologists PA Current Accepting new patients
Imc-Hospitalists LLC CurrentSince Oct 1, 2019 Accepting new patients
Prestige Telemedicine Group LLC Current Accepting new patients
Transitional Care LLC CurrentSince Sep 26, 2022 Accepting new patients
Gulf Coast Health and Rehabilitation, LLC Past Accepting new patients
Geriatric Specialists LLC Past Accepting new patients
Palm Gardens Health and Rehabilitation, LLC Past Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1720 Spring Hill Ave
Ste 401
Mobile, AL 36604
Phone (251) 210-3250

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

148 Tuscaloosa St
Mobile, AL 36607
Phone (251) 435-1300

8002 Grelot Rd
Mobile, AL 36695
Phone (251) 435-1300

Organizations & group practices 10

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1164542346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGARD",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "25661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "25661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-16668",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-16669",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-16667",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.