Individual provider Active NPI

Jacob Cofield

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1184438251
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-122151 Issued in AL
Practice address
1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone
(256) 492-9924
NPI assigned
Feb 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 1-122151 AL Primary

Addresses

Primary practice location

1102 Goodyear Ave
Gadsden, AL 35903-2008

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411

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
I20250514001867 AL Practitioner - Nurse Practitioner 9234657206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (205) 971-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cardiovascular Associates, PC CurrentSince Feb 9, 2025 Accepting new patients
Affinity Cardiovascular Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • Direct secure messaging: jacob.cofield.1@9954.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1184438251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.