NPIMap

Individual provider Active NPI

Bethany Jacobs Meredith, D.O.

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1528344025
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1210 Issued in AL
Practice address
4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971
Phone
(334) 613-3680
Fax
(334) 613-3689
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1210 AL Primary

Addresses

Primary practice location

4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971

Mailing address

4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971
Phone (334) 613-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000079 AL Practitioner - Family Practice 0446407787 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0551

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1210ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Oct 12, 2012 Accepting new patients
Community Hospital Inc CurrentSince Jun 30, 2012 Accepting new patients
Russell Hospital Corporation Family Medicine CurrentSince Oct 12, 2012 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc Family Medicine CurrentSince Jun 30, 2012 Accepting new patients
Paragon Contracting Services LLC CurrentSince Mar 1, 2013 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2014 Accepting new patients
Russell Hospital Corporation Current Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Interoperability endpoints

  • Direct secure messaging: bethany.meredith@direct.baptistfirst.org

Organizations & group practices 9

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 2

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1528344025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162971",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162971",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "BETHANY",
        "middle_name": "JACOBS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.