NPIMap

Individual provider Active NPI

Jason Anthony Ham, M.D.

  • Family Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1245560796
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.30566 Issued in AL
Practice address
2202 Jordan Rd SW Ste 300
Fort Payne, AL 35968-3693
Phone
(256) 844-2911
Fax
(256) 844-2881
NPI assigned
Jan 6, 2010
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.30566 AL Primary

Addresses

Primary practice location

2202 Jordan Rd SW Ste 300
Fort Payne, AL 35968-3693

Mailing address

2202 Jordan Rd SW Ste 300
Fort Payne, AL 35968-3693
Phone (256) 844-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000291 AL Practitioner - Family PracticePractitioner - General Practice 5395929889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dekalb Primary CareGroup PAC ID 3274071915, 8 clinicians

Practice addresses (Care Compare)

1357 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Phone (256) 844-2911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
76.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.30566ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Payne Clinic Corp CurrentSince Aug 1, 2012 Accepting new patients
Fort Payne Clinic Corp. CurrentSince Aug 1, 2012 Accepting new patients
American Family Care, LLC CurrentSince Feb 28, 2011 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Feb 28, 2011 Accepting new patients
American Family Care, LLC Current Accepting new patients
HH Health System - Dekalb RHC, LLC CurrentSince Apr 1, 2024 Accepting new patients
Dekalb Primary Care CurrentSince Jun 12, 2024 Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

1357 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 844-2911

2202 Jordan Rd SW
Ste 300
Fort Payne, AL 35968
Phone (256) 844-2911

415 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 899-7585

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • Direct secure messaging: jham198@yourcarecommunity.org
  • Direct secure messaging: jason.ham.p1@direct.umc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1245560796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JORDAN RD SW STE 300",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683693",
            "telephone_number": "256-844-2911",
            "fax_number": "256-844-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JORDAN RD SW STE 300",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683693",
            "telephone_number": "256-844-2911",
            "fax_number": "256-844-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.30566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.