Individual provider Active NPI

Jason Luke Engeriser, M.D.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1386735280
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
29663 Issued in AL
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

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
29663MedicaidAL

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
I20090921000335 AL Practitioner - Psychiatry 2062516040 Reassigns benefits to 1 organization

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
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

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

LicenseStateTypeSpecialty
29663ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jun 30, 2010 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Jun 30, 2010 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.

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

Verify at the official NPI Registry.