Active NPI
Jeremy Allen, D.O.
- Adult Medicine Physician
- Pell City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- DO880
- Practice address
- 70 Plaza Dr
Pell City, AL 35125 - Phone
- (205) 814-9284
- Fax
- (205) 814-9626
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 2, 2019
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | DO880 | AL | Primary |
| Pain Medicine Physician | 208VP0000X | DO.880 | AL |
Addresses
Primary practice location
70 Plaza Dr
Pell City, AL 35125
Mailing address
70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-9284
Other practice location 1
9232 Parkway E
Birmingham, AL 35206-1509
Phone (205) 833-6888
Other practice location 2
9232 Parkway E
Birmingham, AL 35206-1509
Phone (205) 833-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009940646 | 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
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2705 Pelham Pkwy
Suite 100
Pelham, AL 35124-1704
Phone (205) 733-1330
Hospital & facility affiliations
- Centerwell Home Health
- Aveanna Home Health
- Southerncare New Beacon N Birmingham
- Shelby Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO880 | AL | MD | Adult Medicine Physician |
| DO.880 | AL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Interventional Pain Solutions | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
9232 Parkway E
Birmingham, AL 35206
Phone (205) 833-6888
416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280
2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106
2705 Pelham Pkwy
Ste 100
Pelham, AL 35124
Phone (205) 733-1130
4735 Norrel Dr
Ste 105
Trussville, AL 35173
Phone (205) 661-3627
Interoperability endpoints
- jallen41772@baptisthealthaldirect.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Christ Health Center Inc | Federally qualified health center | Corporate Director | Nov 1, 2009 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
Corporate Director
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Family Medicine Physician
- Florence, AL
- NPI 1639679962
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
dba American Family Care
- Primary Care Clinic/Center
- Opelika, AL
- NPI 1730443524
-
dba Baptist Health Medical Group
- Family Medicine Physician
- Lincoln, AL
- NPI 1770547804
-
- Pain Medicine (Anesthesiology) Physician
- Birmingham, AL
- NPI 1346589736
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Shelby Hospital
- General Acute Care Hospital
- Alabaster, AL
- NPI 1811341167
-
dba Aveanna Home Health
- Home Health Agency
- Hoover, AL
- NPI 1851350334
-
dba New Beacon of Birmingham
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1770512741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1447287115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 PLAZA DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351259314",
"telephone_number": "205-814-9284",
"fax_number": "205-814-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 PLAZA DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "35125",
"telephone_number": "205-814-9284",
"fax_number": "205-814-9626"
}
],
"practiceLocations": [
{
"address_1": "9232 Parkway E",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352061509",
"country_code": "US",
"telephone_number": "205-833-6888",
"fax_number": "205-836-3688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9232 Parkway E",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352061509",
"country_code": "US",
"telephone_number": "205-833-6888",
"fax_number": "205-836-3688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "JEREMY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AL",
"license": "DO880",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AL",
"license": "DO.880",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940646",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pell City, AL
- Sean Bradley Ahonen, ATC
- Alabama Anesthesiology and Pain Consultants P.C.
- Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04839)
- Alabama Health Services St Clair LLC (Alabama Health Services St Clair Anesthesia)
- James Allen, PHARMD
- Dyan Cristyn Alvarez, MD
- Always There Pell City LLC
- American Family Care, LLC (American Family Care)
- Mary Ammons
- John C Anderson, D.C., DABCO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.