Individual provider Active NPI

Jonathan Mac Varner, M.D.

  • Anesthesiology Physician
  • Montgomery, AL
National Provider Identifier
1306861422
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00026717 Issued in AL
Practice address
2105 E South Blvd
Montgomery, AL 36116-2409
Phone
(334) 288-2100
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00026717 AL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD26717 AL
Interventional Pain Medicine Physician 208VP0014X MD26717 AL

Addresses

Primary practice location

2105 E South Blvd
Montgomery, AL 36116-2409

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2032

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000467 AL Practitioner - Anesthesiology 0941231021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall County Anesthesiology and Pain Specialists LLCGroup PAC ID 8729090410, 2 clinicians

Practice addresses (Care Compare)

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 753-8090

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026717ALMDAnesthesiology Physician
MD26717ALMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Pain Management, PC Anesthesiology CurrentSince Aug 1, 2013 Accepting new patients
HCC Health Solutions Inc. CurrentSince Aug 20, 2013 Accepting new patients
Marshall County Anesthesiology and Pain Specialists LLC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Pmcoa Pain Medicine Past Accepting new patients
Health Star Inc Past Accepting new patients
Health Star North Inc PastSince Oct 6, 2019 Accepting new patients

Locations

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

3283 Malcolm Dr
Montgomery, AL 36116
Phone (334) 202-2680

3283 Malcolm Dr
Ste 100
Montgomery, AL 36116
Phone (334) 356-9970

3283 Malcolm Dr
Ste 105
Montgomery, AL 36116
Phone (334) 356-9970

2441 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 491-1111

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1306861422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-386-2032",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "JONATHAN",
        "middle_name": "MAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00026717",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD26717",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "MD26717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.