Individual provider Active NPI

Jason Matthew Harrison, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1366708661
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33185 Issued in AL
Practice address
2451 Fillingim St
Department of Internal Medicine
Mobile, AL 36617-2238
Phone
(251) 471-7891
NPI assigned
Apr 11, 2012
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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 33185 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Department of Internal Medicine
Mobile, AL 36617-2238

Mailing address

101 Memorial Hospital Dr 200
Mobile, AL 36608-1787
Phone (251) 414-5900

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
I20150709002455 AL Practitioner - Internal Medicine 5496995813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

831 C Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 666-4949

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Nov 28, 2016 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Nov 28, 2016 Accepting new patients
Alabama Medical Group, PC Internal Medicine Current Accepting new patients

Locations

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

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.

Hospital & facility affiliations 3

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1366708661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5900",
            "fax_number": "251-281-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.