Individual provider Active NPI

Decontee Jimmeh, MD

  • Neurology Physician
  • Hoover, AL
National Provider Identifier
1366659229
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28551 Issued in AL
Practice address
2270 Valleydale Rd
Suite 100
Hoover, AL 35244-2086
Phone
(205) 982-3596
Fax
(205) 982-4483
NPI assigned
May 17, 2007
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28551 AL Primary

Addresses

Primary practice location

2270 Valleydale Rd
Suite 100
Hoover, AL 35244-2086

Mailing address

2270 Valleydale Rd
Suite 100
Hoover, AL 35244-2086
Phone (205) 982-3596

Other names 1

  • Decontee Jimmeh Fletcher Former name

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
I20150112001882 AL Practitioner - Neurology 4688852767 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Regional Medical Services CurrentSince Apr 8, 2024 Accepting new patients
Alabama Regional Medical Services CurrentSince Apr 8, 2024 Accepting new patients
Pain and Rehabilitation Center Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

712 25th St N
Birmingham, AL 35203
Phone (205) 323-5311

2270 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (205) 591-7246

7001 Crestwood Blvd
Ste 822
Irondale, AL 35210
Phone (205) 421-9615

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1366659229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 VALLEYDALE RD",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442086",
            "telephone_number": "205-982-3596",
            "fax_number": "205-982-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 VALLEYDALE RD",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442086",
            "telephone_number": "205-982-3596",
            "fax_number": "205-982-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMEH",
        "first_name": "DECONTEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "28551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DECONTEE",
            "last_name": "FLETCHER",
            "middle_name": "JIMMEH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.