Active NPI
Jeannie Elizabeth Jacobs-Grier, PA
- Physician Assistant
- Dothan, AL
National Provider Identifier
1366728024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-773
- Practice address
- 1500 Ross Clark Cir
Dothan, AL 36301-4754 - Phone
- (334) 793-2663
- Fax
- (334) 836-2248
- NPI assigned
- Oct 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-773 | AL | Primary |
Addresses
Primary practice location
1500 Ross Clark Cir
Dothan, AL 36301-4754
Mailing address
PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-773 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| S.B.J.S. PC | Current | Accepting new patients |
Locations
1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
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.
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- Emergency Medicine Physician
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- Orthopaedic Surgery Physician
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- Hospitalist Physician
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- Durable Medical Equipment & Medical Supplies
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- NPI 1972824993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1366728024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363020729",
"telephone_number": "334-793-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363014754",
"telephone_number": "334-793-2663",
"fax_number": "334-836-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS-GRIER",
"first_name": "JEANNIE",
"middle_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA-773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.