Active NPI
Jeffrey D Anderson, MD
- Emergency Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24640
- Practice address
- 619 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4011
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1013269802
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Sheffield, AL
- NPI 1205197951
AL, Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
AL
-
- Emergency Medicine Physician
- Sheffield, AL
- NPI 1255378246
Emergency Medicine
-
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1710991153
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Services of Mobile, PC
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000
Hospital & facility affiliations
- North Alabama Medical Center
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000848 | AL | Practitioner - Emergency Medicine | 0446219083 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24640 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physician Group | Emergency Medicine | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Emergency Services of Mobile PC | Emergency Medicine | Current | Accepting new patients |
| Tidewater Emergency Medical Care, LTD. | Emergency Medicine | Past | Accepting new patients |
| North Alabama Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tidewater Emergency Medical Care | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 47165 | MN | |
| Emergency Medicine Physician | 207P00000X | 24640 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
619 19TH St S
Birmingham, AL 35233-1900
Mailing address
1300 S Montgomery Ave
Sheffield, AL 35660-6367
Phone (256) 366-4592
Other practice location 1
1300 S Montgomery Ave
Sheffield, AL 35660-6367
Phone (256) 386-4592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2023.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1528095007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S MONTGOMERY AVE",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356606367",
"telephone_number": "256-366-4592",
"fax_number": "256-386-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [
{
"address_1": "1300 S Montgomery Ave",
"address_purpose": "LOCATION",
"city": "Sheffield",
"state": "AL",
"postal_code": "356606367",
"country_code": "US",
"telephone_number": "256-386-4592",
"fax_number": "256-386-4132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "JEFFREY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "47165",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "24640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.