Active NPI
Tokeysha Johnson Jackson, CRNP
- Primary Care Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-108932
- Practice address
- Community Care Building 908 20TH Street
Birmingham, AL 35294-1047 - Phone
- (205) 934-1917
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-108932 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-108932 | AL | Primary |
Addresses
Primary practice location
Community Care Building 908 20TH Street
Birmingham, AL 35294-1047
Mailing address
709 Griswold Rd
Fairfield, AL 35064-2808
Other practice location 1
2250 Hickory Rd
Suite 240
Plymouth Meeting, PA 19462-1047
Phone (610) 834-1122 ext. 187
Other practice location 2
1509 6th Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1509 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-108932 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients | |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Jefferson County Commission | Past | Accepting new patients | |
| University of Alabama at Birmingham | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
908 20th St S
Birmingham, AL 35205
Phone (205) 934-4108
1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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.
-
- Clinic/Center
- Birmingham, AL
- NPI 1366073108
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Clinic Pharmacy
- Birmingham, AL
- NPI 1568081644
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
- Infusion Therapy Clinic/Center
- Birmingham, AL
- NPI 1861704934
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225283518
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1407837750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1316191968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 GRISWOLD RD",
"city": "FAIRFIELD",
"state": "AL",
"postal_code": "350642808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY CARE BUILDING 908 20TH STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352941047",
"telephone_number": "205-934-1917"
}
],
"practiceLocations": [
{
"address_1": "2250 Hickory Rd",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Plymouth Meeting",
"state": "PA",
"postal_code": "194621047",
"country_code": "US",
"telephone_number": "610-834-1122 x187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1509 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331601",
"country_code": "US",
"telephone_number": "205-930-3200",
"fax_number": "205-521-5526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON JACKSON",
"first_name": "TOKEYSHA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-108932",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-108932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.