Individual provider Active NPI

Jennifer S White, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1366423584
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22040 Issued in AL
Practice address
48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400
Phone
(205) 838-3800
Fax
(205) 838-3206
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22040 AL Primary

Addresses

Primary practice location

48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400

Mailing address

48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400
Phone (205) 838-3800

Other identifiers 1

IdentifierTypeStateIssuer
051511989MedicaidAL

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
I20100326000488 AL Practitioner - Internal Medicine 8820124001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Medical Specialists, P.C.Group PAC ID 1355233529, 2 clinicians

Practice addresses (Care Compare)

48 Medical Park Dr E
Suite 452
Birmingham, AL 35235-3404
Phone (205) 838-3800

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Amedisys Home Health Home health agency, Trussville, AL, CCN 017154
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

Merit-based Incentive Payment System (MIPS)

Final score
35.43 of 100Reported as group
Quality
28.73
Improvement activities
0
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22040ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Medical Specialists, P.C. Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

48 Medical Park Dr E
Ste 457
Birmingham, AL 35235
Phone (205) 838-3800

48 Medical Park Dr E
Ste 452
Birmingham, AL 35235
Phone (205) 838-3673

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f6960be4-ec5f-4de6-8b4b-e2f3c6a9bd30/

Organizations & group practices 1

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 5

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366423584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 457",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-3800",
            "fax_number": "205-838-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 457",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-3800",
            "fax_number": "205-838-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051511989",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.