Individual provider Active NPI

Kaleb Jordon Coleman, PA

  • Physician Assistant
  • Foley, AL
National Provider Identifier
1194314211
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1724 Issued in AL
Practice address
1711 N McKenzie St Ste 100
Foley, AL 36535-2282
Phone
(251) 476-5050
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1724 AL Primary

Addresses

Primary practice location

1711 N McKenzie St Ste 100
Foley, AL 36535-2282

Mailing address

PO Box 86144
Mobile, AL 36689-6144
Phone (251) 450-2756

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
I20210304000759 AL Practitioner - Physician Assistant 2860808599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mississippi Medical College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians

Practice addresses (Care Compare)

1711 N McKenzie St
Suite 100
Foley, AL 36535-2282
Phone (251) 476-5050

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 476-5050

6144 Airport Blvd
Mobile, AL 36608-3143
Phone (251) 476-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
86.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.1724ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, PC CurrentSince Jan 20, 2021 Accepting new patients
The Orthopaedic Group, P.C. CurrentSince Jan 20, 2021 Accepting new patients

Locations

1711 N McKenzie St
Ste 100
Foley, AL 36535
Phone (251) 476-5050

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

Interoperability endpoints

  • Direct secure messaging: kcoleman@tog1813.srs-direct.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 2

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1194314211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86144",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366896144",
            "telephone_number": "251-450-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N MCKENZIE ST STE 100",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352282",
            "telephone_number": "251-476-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KALEB",
        "middle_name": "JORDON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.