Jerry Allen Grant Jr., DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2703 Issued in AL

Practice address

220 Doug Baker Blvd Ste 100
Hoover, AL 35242-2680

Phone

(205) 980-0035

Fax

(205) 980-1649

NPI assigned

Apr 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment Care Compare group NPD
• Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Opelika, AL
  • NPI 1225108715
  Medicare reassignment NPD
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group
• Internal Medicine Lab.

  • Clinical Medical Laboratory
  • Opelika, AL
  • NPI 1861558041
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1407476385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DOUG BAKER BLVD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422680",
            "telephone_number": "205-980-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DOUG BAKER BLVD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422680",
            "telephone_number": "205-980-0035",
            "fax_number": "205-980-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 N 20th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368015454",
            "country_code": "US",
            "telephone_number": "334-749-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JERRY",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.2703",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Johnson Gotshall, LPC
• Mary Lane Gould-Hartline, APRN BC CEDS
• Pearl Govea, M.D.
• James Nathaniel Graham, LPC
• Breah Grant, LICSW
• Richard Lowell Grantier III, M.D.
• Jonathan Gravlee, OD
• Matthew James Gray
• Shantel Gray, PHARMD
• Brooke Grayson, PHARMD

• Internal Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.

Verify at the official NPI Registry.