Jennifer Lee Courtney, M.D.
Individual provider Active NPI Internal Medicine Physician · Birmingham, AL
NPI 1407987191 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1407987191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD.28364 (AL)
- Practice address
- 860 Montclair Rd
Birmingham, AL 35213-1923 - Phone
- (205) 599-3860
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080228000072 | AL | Practitioner - Hospice/Palliative Care |
4880778976 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.28364 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Carelon Medical Partners, PC | Internal Medicine | Current |
Accepting new patients |
| Affinity Physician Services LLC | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
Interoperability endpoints
- https://api.platform.athenahealth.com/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.28364 | AL | Yes |
Addresses
Primary practice location
860 Montclair Rd
Birmingham, AL 35213-1923
Mailing address
3625 Hunters Hill Dr
Irondale, AL 35210-3009
Phone (205) 956-3294
Other providers in Birmingham, AL
- Counseling & Consulting Professionals
- Counseling Gods Way, LLC.
- Counseling Specialists of Birmingham
- Countryside Hospice Care Inc
- Darby Courtad
- Kelley Cousins Cousins-Jones
- Betty Ann Cousins
- Ryan Coute
- Sarah Coute
- Maria Francesca Couto
All providers in Birmingham, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.