Active NPI
Jason Luke Engeriser, M.D.
- Psychiatry Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29663
- Practice address
- 2401 Gordon Smith Dr
Mobile, AL 36617-2318 - Phone
- (251) 450-2211
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29663 | AL | Primary |
Addresses
Primary practice location
2401 Gordon Smith Dr
Mobile, AL 36617-2318
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-5916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29663 | Medicaid | AL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northwestern University Feinberg Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 450-2211
2401 Gordon Smith Dr
Mobile, AL 36617-2318
Phone (251) 450-2211
2419 Gordon Smith Dr
Mobile, AL 36617-2318
Phone (251) 450-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29663 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Mid-Coast Mental Health Center | Past | Accepting new patients | |
| Altapointe Health Systems, Inc. | Past | Accepting new patients |
Locations
2009 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-2010
13833 Tapia Ave
Ste B
Bayou Labatre, AL 36509
7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500
372 Greeno Rd S
Fairhope, AL 36532
Phone (251) 927-2871
374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250
201 E Camphor Ave
Foley, AL 36535
Phone (251) 929-5410
88217 Highway 9
Lineville, AL 36266
630 Zeigler Cir E
Mobile, AL 36608
Phone (251) 450-4335
5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153
1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250
501 Bishop Ln N
Mobile, AL 36608
Phone (251) 450-2240
5750 Southland Dr
#A
Mobile, AL 36693
Phone (251) 662-7290
7280 Sellers Ln
Mobile, AL 36608
Phone (251) 277-9064
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
2401 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 461-3492
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
706 Main St
Roanoke, AL 36274
10 Bemiston Ave
Talladega, AL 35160
Phone (256) 362-8600
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1003707332
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1851050314
-
- Community/Behavioral Health Agency
- Rockland, ME
- NPI 1376642066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1386735280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750A SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933316",
"telephone_number": "251-450-5916",
"fax_number": "251-662-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GORDON SMITH DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172318",
"telephone_number": "251-450-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGERISER",
"first_name": "JASON",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "29663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29663",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.