Sonja Pettus, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27916 Issued in AL

Practice address

1450 Jones Dairy Rd
BLDG 700
Jasper, AL 35501-6106

Phone

(205) 295-4200

Fax

(205) 295-4201

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

University of Alabama School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walker Medical Diagnostics, LLCGroup PAC ID 8921000845, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045
• North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sonja.pettus@walkmed.direct.medconnect-inc.com

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.

• Walker Medical Diagnostics, LLC

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1649350646
  Medicare reassignment Care Compare group NPD
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943
  Medicare reassignment NPD
• Stratus Orthopedic Supply, Inc.

  dba Stratus Wound Care

  • General Practice Physician
  • Hoover, AL
  • NPI 1669552329
  Medicare reassignment NPD
• Advantage Family Care, Inc.

  dba Huntsville Hospital Urgent Care

  • Rural Health Clinic/Center
  • Athens, AL
  • NPI 1518674936
  NPD
• Walker Medical Diagnostics, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jasper, AL
  • NPI 1881808400
  NPD

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

• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion

  • General Acute Care Hospital
  • Winfield, AL
  • NPI 1083402895
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Psych Unit

  • Psychiatric Hospital Unit
  • Winfield, AL
  • NPI 1447049598
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Winfield, AL
  • NPI 1730978875
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1184769424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD",
            "address_2": "BLDG 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355016106",
            "telephone_number": "205-295-4200",
            "fax_number": "205-295-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD",
            "address_2": "BLDG 700",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355016106",
            "telephone_number": "205-295-4200",
            "fax_number": "205-295-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "SONJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943063",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allie Patterson
• Barbara H Paulman, MLT,ASCP
• Bridget Perkins, MA
• Ashley Nicole Perry, ALC
• Jack R Perry, M.D.
• Tin Thanh Pham
• Hailey Brooke Phillips, OTR/L
• Leanna Michelle Phillips, NP
• C Renee Philpot-Bowen, DC
• Joann Pickett, LMSW

• Internal Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.