James Andrew Clement Jr., M.D.
Individual provider Active NPI Emergency Medicine Physician · Boaz, AL
NPI 1295896397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295896397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 15731 (AL)
- Practice address
- 2505 US Highway 431
Boaz, AL 35957 - Phone
- (256) 593-8310
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000405 | AL | Practitioner - Family Practice | 6103831623 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15734 | AL | MD | Pharmacist |
| 15731 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center South Diamond Hospital Services | Current |
Accepting new patients | |
| Marshall Medical Center North | Emergency Medicine | Current |
Accepting new patients |
| MMC Inpatient Physician Services | Current |
Accepting new patients | |
| HH Health System - Marshall LLC | Past | Accepting new patients |
Locations
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
2509 US Hwy 431
Boaz, AL 35957
8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15731 | AL | Yes |
Addresses
Primary practice location
2505 US Highway 431
Boaz, AL 35957
Mailing address
1202 Brown St
Boaz, AL 35957-5939
Phone (256) 593-3026
Other providers in Boaz, AL
- Andrew Russell Christie
- Jessica Cieszkowski
- City of Boaz
- Hollie Claburn
- Victoria Clay
- Marion Stephen Clevenger
- Clifton Care Inc
- Angela L. Clifton
- Douglas Wayne Clink
- Ashley Nicole Colquitt
All providers in Boaz, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.