Jonathan Jason Shammaa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.42873 Issued in AL

Practice address

300 Greeno Rd S Ste B
Fairhope, AL 36532-1905

Phone

(251) 929-3424

NPI assigned

Sep 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
• Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jshammaa100212@directinfirmaryhealth.org

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.

• Imc-Eastern Shore Adult Medicine, LLC

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1912284852
  Medicare reassignment Care Compare group NPD

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

• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Daphne, AL
  • NPI 1497784326
  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Thomas Home Health, LLC

  dba Thomas Home Health

  • Home Health Agency
  • Fairhope, AL
  • NPI 1790902435
  Care Compare affiliation

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1477035681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMAA",
        "first_name": "JONATHAN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4811R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.42873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self Center PC
• Karl Stanley Self, M.D.
• Senior Wellness Group of Alabama
• Sensory in Motion Therapy Services, LLC
• Monica Paige Shambo, MSN, CRNP, FNP-C
• Marilyn Kaye Shaw, DMD
• Dalton Sheffield, DO
• Shehryar Anjum, MD, LLC
• Jessica Sheldon, CRNP
• Ellis Michael Shelley, MD

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.