Active NPI
Jonathan Wallace Gurr, M.D.
- Pediatrics Physician
- Scottsboro, AL
National Provider Identifier
1386971257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD. 35327
- Practice address
- 23800 John T. Reid Pkwy
Scottsboro, AL 35769 - Phone
- (256) 997-5900
- Fax
- (256) 997-5995
- NPI assigned
- Nov 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD. 35327 | AL | Primary |
| Pediatrics Physician | 208000000X | 76726 | GA |
Addresses
Primary practice location
23800 John T. Reid Pkwy
Scottsboro, AL 35769
Mailing address
1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Phone (256) 997-5900
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD. 35327 | AL | MD | Pediatrics Physician |
| 76726 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Fort Payne Pediatrics LLC | Pediatrics | Past | Accepting new patients |
| Kids 1St Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Scottsboro, AL
- NPI 1376090357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1386971257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 OLD WATER WORKS RD SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683347",
"telephone_number": "256-997-5900",
"fax_number": "256-997-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 JOHN T. REID PKWY",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "35769",
"telephone_number": "256-997-5900",
"fax_number": "256-997-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURR",
"first_name": "JONATHAN",
"middle_name": "WALLACE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-12",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "MD. 35327",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "76726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.