Jeffrey D Anderson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

24640 Issued in AL

Practice address

619 19TH St S
Birmingham, AL 35233-1900

Phone

(205) 934-4011

NPI assigned

Jun 28, 2006

Last updated

Nov 9, 2023By the provider in NPPES

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

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, PCGroup PAC ID 5092968255, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Alabama Medical Center Hospital, Florence, AL, CCN 010006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Emergency Services of Mobile PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1013269802
  Medicare reassignment Care Compare group NPD
• Northwest Emergency Physician Group

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1205197951
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• Tidewater Emergency Medical Care

  dba Chesapeake Emergency Physicians

  • Physician Assistant
  • Chesapeake, VA
  • NPI 1295366201
  NPD (past)
• Tidewater Emergency Medical Care, LTD.

  dba Chesapeake Emergency Physicians

  • Emergency Medicine Physician
  • Chesapeake, VA
  • NPI 1710991153
  NPD (past)

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

• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation

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

{
    "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": []
}

• Frank Lawrence Anderson, M.D.
• Gerald Keith Anderson, PHD
• Hilary Bryan Anderson, M.D.
• James William Anderson, CERTIFIED ALCOHOL DR
• Jarad Dale Anderson, MD
• John T Anderson, CRNA
• Joseph Norman Anderson, MD
• Katherine Parks Anderson, MD
• Kelli A Anderson
• Lauren Haley Anderson, MD

• Emergency Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Emergency Medicine Physician in Alabama

• 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.

Verify at the official NPI Registry.