Jemison Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17742 Issued in AL

Legal business name

JEMISON INTERNAL MEDICINE PC

Practice address

24548 US Hwy 31
Jemison, AL 35085

Phone

(205) 688-4050

Fax

(205) 688-3207

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Jay Prakash D Patel, MDNPI 1083699334

Title

President

Phone

(205) 688-4050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGEJAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayprakash D Patel, MD

  • Internal Medicine Physician
  • Jemison, AL
  • NPI 1083699334

  AL, Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164569570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "address_2": "24548 US HWY 31",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "35085",
            "telephone_number": "205-688-4050",
            "fax_number": "205-688-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24548 US HWY 31",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "35085",
            "telephone_number": "205-688-4050",
            "fax_number": "205-688-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMISON INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY PRAKASH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-688-4050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "17742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narvel Atwood Black Jr., DMD
• Pamela Jean Callaghan, LICSW, PIP
• Cheryl Glasscock
• Jemison Eye Care LLC
• Jemison Family Chiropractic, Inc.
• Paul David Lovoy
• Junithan Carl McCall
• Larry S Mikul, M.D.
• David Matthew Mims, D.C.
• Myeyedr Optometry of Alabama LLC

• All providers in Jemison, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.