Praveen Jetty, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21439 Issued in AL

Practice address

401 Tuscaloosa Ave. S.W., Suite 110
Birmingham, AL 35211

Phone

(205) 785-2000

Fax

(205) 785-2945

NPI assigned

Oct 13, 2006

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• HH Physicians Network

  • Specialist
  • Huntsville, AL
  • NPI 1891359683
  Medicare reassignment Care Compare group NPD
• Jetty Psychiatric Services LLC

  • Geriatric Psychiatry Physician
  • Birmingham, AL
  • NPI 1750576815
  Authorized official Same address or phone
• BHC-Princeton Psychiatry

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1942331863
  NPD (past)
• Hope Psychiatry P.C.

  • Psychiatry Physician
  • Bessemer, AL
  • NPI 1518090273
  NPD (past)
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  NPD (past)
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • Psychiatric Hospital Unit
  • Huntsville, AL
  • NPI 1588615033
  NPD (past)
• Yhap Psychiatric Services, Inc

  • Psychiatry Physician
  • Albertville, AL
  • NPI 1275694119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1174613160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TUSCALOOSA AVE. S.W., SUITE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-785-2000",
            "fax_number": "205-785-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TUSCALOOSA AVE. S.W., SUITE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-785-2000",
            "fax_number": "205-785-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTY",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Jester, MD
• Benjamin Alan Jeter, P.A.
• Deborah Jeter
• Lanitra Faye Jeter
• Jetty Psychiatric Services LLC
• Natalie Nicole Jewett, MD
• Harishanker Jeyarajan, MBBS
• Nan Jiang, M.D.
• Wenyun Jiang
• Alexis Hope Jiles

• Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.

Verify at the official NPI Registry.