Individual provider Active NPI

Jarod E Speer, M.D.

  • Family Medicine Physician
  • Childersburg, AL
National Provider Identifier
1609947993
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27731 Issued in AL
Practice address
34011 US Highway 280
Suite a
Childersburg, AL 35044-2128
Phone
(256) 378-3313
Fax
(256) 378-5912
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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 27731 AL Primary

Addresses

Primary practice location

34011 US Highway 280
Suite a
Childersburg, AL 35044-2128

Mailing address

PO Box 349
Childersburg, AL 35044-0349
Phone (256) 378-3313

Other identifiers 5

IdentifierTypeStateIssuer
80252OtherALCOMMERCIAL
P00392428OtherALRAILROAD MEDICARE
51590048OtherALBLUE CROSS BLUE SHIELD
200356379OtherALTRICARE
1952484081MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000435 AL Practitioner - Family Practice 6002911781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Management and Medical Services, LLCGroup PAC ID 4981504172, 5 clinicians

Practice addresses (Care Compare)

33637 US Hwy 280
Childersburg, AL 35044-3028
Phone (256) 378-3313

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Centerwell Home Health Home health agency, Sylacauga, AL, CCN 017152
  • Adoration Home Health Home health agency, Sylacauga, AL, CCN 017085
  • Aveanna Home Health Home health agency, Harpersville, AL, CCN 017182
  • Aveanna Hospice of Pell City Hospice, Pell City, AL, CCN 011617
  • Southerncare New Beacon N Birmingham Hospice, Birmingham, AL, CCN 011501
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27731ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Nov 14, 2015 Accepting new patients
Management and Medical Services, LLC Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Nov 14, 2015 Accepting new patients
Diabetic and Wound Care Management Services LLC PastSince May 4, 2010 Accepting new patients

Locations

34011 US Highway 280
Childersburg, AL 35044
Phone (256) 378-3313

34011 US Highway 280
Ste A
Childersburg, AL 35044
Phone (256) 378-3313

33637 US Highway 280
Childersburg, AL 35044
Phone (205) 228-7600

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Organizations & group practices 5

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 7

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1609947993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350440349",
            "telephone_number": "256-378-3313",
            "fax_number": "256-378-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34011 US HIGHWAY 280",
            "address_2": "SUITE A",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350442128",
            "telephone_number": "256-378-3313",
            "fax_number": "256-378-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "JAROD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "80252",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00392428",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51590048",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "200356379",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952484081",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Childersburg, AL

Sources for this page

Verify at the official NPI Registry.