Individual provider Active NPI

Jamie L Cleckler, D.P.M.

  • Podiatrist
  • Birmingham, AL
National Provider Identifier
1174562755
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
263 Issued in AL
Practice address
805 Saint Vincents Dr
Suite 420
Birmingham, AL 35205-1636
Phone
(205) 324-8511
Fax
(205) 314-8551
NPI assigned
Jun 6, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 263 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr
Suite 420
Birmingham, AL 35205-1636

Mailing address

805 St. Vincent's Drive
Suite 420
Birmingham, AL 35205-1636
Phone (205) 324-8511

Other identifiers 2

IdentifierTypeStateIssuer
1174562755MedicaidAL
051598947OtherALBLUE CROSS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000774 AL Practitioner - Podiatry 4688579626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Podiatry PCGroup PAC ID 4183617111, 5 clinicians

Practice addresses (Care Compare)

805 Saint Vincents Dr
Suite 420
Birmingham, AL 35205-1641
Phone (205) 324-8511

833 Saint Vincents Dr
Suite 205
Birmingham, AL 35205-1609
Phone (205) 324-8511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67
Removal of skin lesions16
Removal of nail tissue511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
589TNMDBehavioral Analyst
263ALMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Podiatry PC Podiatrist CurrentSince Jul 1, 2009 Accepting new patients
Birmingham Podiatry PC Podiatrist Past Accepting new patients
Highlands Podiatry PLC Podiatrist PastSince Jul 1, 2002 Accepting new patients
Highlands Podiatry, P.L.C. Past Accepting new patients

Locations

805 Saint Vincents Dr
Ste 420
Birmingham, AL 35205
Phone (205) 324-8511

833 Saint Vincents Dr
Ste 205
Birmingham, AL 35205
Phone (205) 324-8511

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1174562755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-324-8511",
            "fax_number": "205-314-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-324-8511",
            "fax_number": "205-314-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLECKLER",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174562755",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051598947",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.