Jessica Arnold Duddleston, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

44247 Issued in AL

Practice address

3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415

Phone

(205) 592-3911

NPI assigned

May 27, 2018

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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

Ophthalmology

Education

University of Mississippi School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Vision Center, LLCGroup PAC ID 5294753562, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056

Merit-based Incentive Payment System (MIPS)

Final score

84.41 of 100Reported as group

Quality

93

Improvement activities

40

Cost

57.38

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: duddleston@alabamavisioncenter.direct.eyemdemr.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Alabama Vision Center, LLC

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1992807259

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1295226140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Mason Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275996134",
            "country_code": "US",
            "telephone_number": "919-966-1459",
            "fax_number": "919-843-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDDLESTON",
        "first_name": "JESSICA",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "238534",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "44247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PE-62FZXC0QW",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Doximity",
            "affiliation": "N",
            "address_1": "3928 Montclair Rd Ste 100",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352132415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Sherri M. Weissman, LLC
• Zelda Peach Driskell, LMSW
• Mark Darrell Driskill, LICSW
• Drmattdpt, LLC
• Cynthia Duck, MD
• Dunn Dental Care, PC (Crestline Village Dentistry)
• Carmen Ritchie Echols
• Ladonna Edwards, MSN,CRNP
• Ellie Mental Health - North Central Alabama LLC (Ellie Mental Health)
• Adam Elliott, MA, ADC, ALC

• Ophthalmology Physician in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.