Individual provider Active NPI

Jennifer Irene McLeod, PH.D, CRNP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1447653589
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-077385 Issued in AL
Practice address
3368 Highway 280
Suite G-15
Alexander City, AL 35010
Phone
(256) 329-1114
Fax
(256) 329-3339
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-077385 AL Primary

Addresses

Primary practice location

3368 Highway 280
Suite G-15
Alexander City, AL 35010

Mailing address

3368 Highway 280
Suite G-15
Alexander City, AL 35010
Phone (256) 329-1114

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108001469 AL Practitioner - Nurse Practitioner 5395068852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Head and Neck SurgeryGroup PAC ID 6002984481, 3 clinicians

Practice addresses (Care Compare)

1113 Christine Ave
Anniston, AL 36207-4657
Phone (256) 329-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Head & Neck Surgery CurrentSince Dec 10, 2014 Accepting new patients
Wetumpka Family Practice PA PastSince Dec 10, 2014 Accepting new patients
University Sleep Disorders Center PastSince Mar 1, 2026 Accepting new patients

Locations

3368 Highway 280
Ste G15
Alexander City, AL 35010
Phone 2563291114104

1113 Christine Ave
Anniston, AL 36207
Phone (256) 770-4813

183 E University Dr
Auburn, AL 36832
Phone (334) 209-6555

1891 Honeysuckle Rd
Ste 1
Dothan, AL 36305
Phone (334) 479-0051

401 W 3rd St
Sylacauga, AL 35150
Phone (256) 249-2212

206 Medical Park
Talladega, AL 35160
Phone (256) 761-4661

73970 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 567-7850

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.146

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1447653589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE G-15",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-329-1114",
            "fax_number": "256-329-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE G-15",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-329-1114",
            "fax_number": "256-329-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-077385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.