Shelia Jackson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

749 Issued in AL

Legal business name

SHELIA JACKSON

Practice address

5646 Bell Rd
Montgomery, AL 36116-4118

Phone

(334) 612-2100

Fax

(334) 612-2148

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Shelia D Jackson

Title

Owner

Phone

(334) 612-2100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ARIEL HOME MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1447445820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164118",
            "telephone_number": "334-612-2100",
            "fax_number": "334-612-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164118",
            "telephone_number": "334-612-2100",
            "fax_number": "334-612-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELIA JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-612-2100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "51539790",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910338",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIEL HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shefa Medical Transportation
• Nicole M Sheffield, MD
• Paul E Sheffield, MD
• Muhammad Shehryar, MD
• Debra Marie Shelby, 032562
• Shaneika Janay Shelton, PMHNP-BC
• Shepherd a Odom MD PC
• Laquantas Shepherd
• Katherine Williams Sheridan, NP
• Sherman L. Armstrong, MD, PC

• Durable Medical Equipment & Medical Supplies in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.