John a. Stewart M.D., P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

9216 Issued in AL

Legal business name

JOHN A. STEWART M.D., P.C.

Practice address

122 N 20TH St
BLDG #25
Opelika, AL 36801-5442

Phone

(334) 749-5604

Fax

(334) 749-3040

NPI assigned

Jan 27, 2011

Reactivated

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John A Stewart, M.D.NPI 1265423313

Title

President

Phone

(334) 749-5604

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Alvin Stewart, M.D.

  • Dermatology Physician
  • Opelika, AL
  • NPI 1265423313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1508162231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST",
            "address_2": "BLDG #25",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-5604",
            "fax_number": "334-749-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST",
            "address_2": "BLDG #25",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-5604",
            "fax_number": "334-749-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. STEWART M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-07-20",
        "deactivation_date": "2011-06-01",
        "reactivation_date": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-749-5604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "9216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265423313",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510 06042",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerkins Inc
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• April Jerkins, R.PH.
• Jeff D Jerkins, RPH
• JM Home Care Holdings, Inc.
• Brandon Scott Johnson, M.D.
• Fredrick Johnson
• Lee Johnson, M.D.
• Makenzie Kitchens Johnson, D.M.D
• Meghan Johnson

• Medical Specialty Clinic/Center in Opelika, AL
• Providers in Opelika, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.