Individual provider Active NPI

Jeremy Allen, D.O.

  • Adult Medicine Physician
  • Pell City, AL
National Provider Identifier
1447287115
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
DO880 Issued in AL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009940646MedicaidAL

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
I20060131000678 AL Practitioner - Family Practice 4284648023 Reassigns benefits to 3 organizations

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
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

2705 Pelham Pkwy
Suite 100
Pelham, AL 35124-1704
Phone (205) 733-1330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO880ALMDAdult Medicine Physician
DO.880ALMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Jun 7, 2014 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 21, 2023 Accepting new patients
Interventional Pain Solutions CurrentSince Mar 15, 2015 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 21, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Mar 4, 2022 Accepting new patients
American Family Care, LLC CurrentSince Jun 7, 2014 Accepting new patients
Baptist Health Centers, LLC CurrentSince Mar 4, 2022 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Christ Health Center IncCenter Point, AL, CCN 011038 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.

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.

Hospital & facility affiliations 4

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

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

Sources for this page

Verify at the official NPI Registry.