Active NPI
Jacquline A Tessen, M.D.
- Obstetrics & Gynecology Physician
- Anniston, AL
National Provider Identifier
1376595082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD27217
- Practice address
- 1010 Christine Ave
Anniston, AL 36207-5782 - Phone
- (256) 236-5631
- Fax
- (256) 624-9388
- NPI assigned
- May 17, 2006
- Last updated
- Oct 13, 2016
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD27217 | AL | Primary |
Addresses
Primary practice location
1010 Christine Ave
Anniston, AL 36207-5782
Mailing address
PO Box 2127
Anniston, AL 36202-2127
Phone (256) 236-5631
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27217 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anniston OBGYN Associates, P.C. | Current | Accepting new patients | |
| Allervie Health Professional Corporation | Past | Accepting new patients | |
| Caroline a Reich MD PC | Past | Accepting new patients |
Locations
901 Leighton Ave
Ste 501
Anniston, AL 36207
Phone (256) 237-6755
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jacqulinetessen@annmc.allscriptsdirect.net
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.
-
- Obstetrics Physician
- Anniston, AL
- NPI 1760447510
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1780629535
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1982882270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1376595082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2127",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362022127",
"telephone_number": "256-236-5631",
"fax_number": "256-624-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CHRISTINE AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075782",
"telephone_number": "256-236-5631",
"fax_number": "256-624-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSEN",
"first_name": "JACQULINE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "MD27217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
- Timothy Bret Tabor, M.D.
- Amy T Taylor, LPC
- Lafredia F. Taylor, LPC/RN
- William Teague
- Shannon Michelle Terrell, MS, EDS, ALC, CCTP
- The Arc of Calhoun and Cleburne Counties
- The Broad Place Counseling
- The Cardiovascular Clinics, PC
- The Health Care Authority of the City of Anniston (Northeast Alabama Regional Medical Center)
- The Health Care Authority of the City of Anniston (Stringfellow Campus of Northeast Alabama Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.