Individual provider Active NPI

Jaimee Tullos Sandlin, PA

  • Physician Assistant
  • Sylacauga, AL
National Provider Identifier
1447287891
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-446 Issued in AL
Practice address
315 W Hickory St
Sylacauga, AL 35150-2913
Phone
(256) 249-5700
Fax
(256) 249-5029
NPI assigned
Jun 28, 2006
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-446 AL Primary

Addresses

Primary practice location

315 W Hickory St
Sylacauga, AL 35150-2913

Mailing address

1200 Corporate Dr
Suite 230
Birmingham, AL 35242-2941
Phone (205) 995-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031216000545 LA Practitioner - Physician Assistant 6103723390 Reassigns benefits to 1 organization
I20060109001093 AL Practitioner - Physician Assistant 6103723390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Christopher Davis, PLLCGroup PAC ID 2062686512, 5 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2161 Valleydale Rd
Hoover, AL 35244-2010
Phone (470) 437-2562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-446ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2015 Accepting new patients
University Medical Center Management Corporation CurrentSince Dec 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Apr 1, 2015 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Southern Medical Group Inc Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 8

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 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1447287891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "SUITE 230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422941",
            "telephone_number": "205-995-7980",
            "fax_number": "205-995-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-249-5700",
            "fax_number": "256-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "JAIMEE",
        "middle_name": "TULLOS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.