Active NPI
Jay Thomas Pohl, M.D.
- Family Medicine Physician
- Hartselle, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00019023
- Practice address
- 615 Mynatt Street
Suite E
Hartselle, AL 35640 - Phone
- (256) 773-2979
- Fax
- (256) 773-2986
- NPI assigned
- Sep 2, 2005
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00019023 | AL | Primary |
Addresses
Primary practice location
615 Mynatt Street
Suite E
Hartselle, AL 35640
Mailing address
615 Mynatt Street
Suite E
Hartselle, AL 35640
Phone (256) 773-2979
Other practice location 1
310 Pine St NW
Suite a
Hartselle, AL 35640-2316
Phone (256) 773-2979
Other practice location 2
310 Pine St NW
Suite a
Hartselle, AL 35640-2316
Phone (256) 773-2979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000028289 | Medicaid | AL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 Pine St NW a
Hartselle, AL 35640-2316
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00019023 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartselle Family Medicine | Family Medicine | Current | Accepting new patients |
Locations
310 Pine St NW
Ste A
Hartselle, AL 35640
Phone (256) 773-2979
615 Mynatt St SW
Ste E
Hartselle, AL 35640
Phone (256) 773-2979
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hartselle, AL
- NPI 1922208057
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Hospice Care of Gadsden
- Community Based Hospice Care Agency
- Rainbow City, AL
- NPI 1528237997
-
dba Amedisys Hospice of Birmingham
- Community Based Hospice Care Agency
- Homewood, AL
- NPI 1326006651
-
dba Amedisys Hospice of Decatur
- Community Based Hospice Care Agency
- Decatur, AL
- NPI 1083651525
-
dba Decatur Morgan Hospital-Decatur Campus
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235123407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MYNATT STREET",
"address_2": "SUITE E",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "35640",
"telephone_number": "256-773-2979",
"fax_number": "256-773-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MYNATT STREET",
"address_2": "SUITE E",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "35640",
"telephone_number": "256-773-2979",
"fax_number": "256-773-2986"
}
],
"practiceLocations": [
{
"address_1": "310 Pine St NW",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "Hartselle",
"state": "AL",
"postal_code": "356402316",
"country_code": "US",
"telephone_number": "256-773-2979",
"fax_number": "256-773-2986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Pine St NW",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "Hartselle",
"state": "AL",
"postal_code": "356402316",
"country_code": "US",
"telephone_number": "256-773-2979",
"fax_number": "256-773-2986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POHL",
"first_name": "JAY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00019023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000028289",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.