Individual provider Active NPI

Cody Jarmon, CRNP

  • Acute Care Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1497230478
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-145856 Issued in AL
Practice address
2986 US Highway 431
Boaz, AL 35957-5848
Phone
(256) 840-8181
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-145856 AL
Acute Care Nurse Practitioner 363LA2100X 1-145856 AL Primary

Addresses

Primary practice location

2986 US Highway 431
Boaz, AL 35957-5848

Mailing address

PO Box 697
Boaz, AL 35957-0697
Phone (256) 744-7292

Other practice location 1

2505 US Highway 431
Boaz, AL 35957-5908
Phone (256) 593-8310

Other practice location 2

133 Wall St
Albertville, AL 35951-9300
Phone (256) 840-5547

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
I20190423002698 AL Practitioner - Nurse Practitioner 1456693498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
United Doctors Family Medical Center LLCGroup PAC ID 0648597567, 13 clinicians
Southern Divine Family Medical Center LLCGroup PAC ID 0648692582, 5 clinicians

Practice addresses (Care Compare)

2986 US Hwy 431
Boaz, AL 35957-5848
Phone (256) 744-7292

7130 6TH Ave
Altoona, AL 35952-9052
Phone (205) 589-1092

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Divine Family Medical Center LLC Acute Care CurrentSince Jun 1, 2021 Accepting new patients
United Doctors Family Medical Center LLC CurrentSince Feb 9, 2019 Accepting new patients
Gana Holdings, LLC Acute Care CurrentSince Mar 1, 2024 Accepting new patients

Locations

7130 6th Ave
Altoona, AL 35952
Phone (205) 589-1092

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

180 Medical St
Snead, AL 35952
Phone (205) 386-4341

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.

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1497230478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570697",
            "telephone_number": "256-744-7292",
            "fax_number": "256-744-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575908",
            "country_code": "US",
            "telephone_number": "256-593-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Wall St",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359519300",
            "country_code": "US",
            "telephone_number": "256-840-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARMON",
        "first_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-145856",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-145856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.