Benjamin Alan Jeter, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-160 Issued in AL

Practice address

1801 Gadsden Hwy
Birmingham, AL 35235-3134

Phone

(205) 838-3900

Fax

(205) 838-3906

NPI assigned

Feb 8, 2006

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Alabama School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Orthopedic Spine and Sports Medicine Associates P CGroup PAC ID 5395643068, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Alabama Orthopedic Spine & Sports Medicine Associates P C

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1659344984
  Medicare reassignment Care Compare group

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

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1255304473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "BENJAMIN",
        "middle_name": "ALAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51520839",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry'S Pharmacy
• Natalie Jessen
• Jessica Palmer, O.D., LLC
• Jessie Chu DMD LLC
• Traci Jester, MD
• Deborah Jeter
• Lanitra Faye Jeter
• Jetty Psychiatric Services LLC
• Praveen Jetty, M.D.
• Natalie Nicole Jewett, MD

• Surgical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.