Individual provider Active NPI

Jacqueline Y Sylvester, M.D. F.A.C.O.G

  • Obstetrics & Gynecology Physician
  • Madison, AL
National Provider Identifier
1326087248
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00025180 Issued in AL
Practice address
235 Portal Lane Suite a
Madison, AL 35758-5827
Phone
(256) 461-1766
Fax
(256) 461-1768
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00025180 AL Primary

Addresses

Primary practice location

235 Portal Lane Suite a
Madison, AL 35758-5827

Mailing address

235 Portal Lane Suite a
Madison, AL 35758-5827
Phone (256) 461-1769

Other identifiers 1

IdentifierTypeStateIssuer
009924255MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20250410000405 GU Practitioner - Obstetrics/Gynecology 3476551474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Conference Corp of SdaGroup PAC ID 6608777628, 52 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

  • Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025180ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Memorial Hospital CurrentSince Feb 17, 2025 Accepting new patients
General Conference Corp of Sda CurrentSince Jun 20, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Feb 17, 2025 Accepting new patients
Crestwood Healthcare LP Past Accepting new patients
Euphrates Health and Wellness Center, LLC Obstetrics & Gynecology PastSince Nov 1, 2024 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Interoperability endpoints

  • Direct secure messaging: jacqueline.sylvester.1@31775.direct.athenahealth.com

Organizations & group practices 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1326087248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORTAL LANE SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585827",
            "telephone_number": "256-461-1769",
            "fax_number": "256-461-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORTAL LANE SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585827",
            "telephone_number": "256-461-1766",
            "fax_number": "256-461-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "JACQUELINE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "M.D. F.A.C.O.G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00025180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009924255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.