Mulberry Medical Associates, P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MULBERRY MEDICAL ASSOCIATES, P.C

Practice address

1301 Mulberry St
Montgomery, AL 36106-1132

Phone

(334) 265-6153

Fax

(334) 265-6943

NPI assigned

May 27, 2006

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. Jernigan, M.D.NPI 1881635480

Title

President

Phone

(334) 265-6153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• John A. Jernigan, M.D.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1881635480
  Medicare reassignment Care Compare group NPD Authorized official
• Ellouise M. Cotton, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1861594475
  Medicare reassignment Care Compare group NPD
• Joel McCloud Jr., M.D.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1801836457
  Medicare reassignment Care Compare group NPD
• Norman L. Taylor, M.D.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1811937469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629025499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061132",
            "telephone_number": "334-265-6153",
            "fax_number": "334-265-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061132",
            "telephone_number": "334-265-6153",
            "fax_number": "334-265-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY MEDICAL ASSOCIATES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-265-6153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mtgy. Assoc. for Retarded Citizens, Inc.
• Raghu Mukkamala, MD
• Rama Lakshmi Mukkamala, MD
• Mulberry Diagnostic Imaging
• Mulberry Foot Care, LLC
• Mulberry Medical, LLC
• Mulberry Wellness Salon LLC
• Michael Brandon Mull, O.D
• Allan Muller, DO
• Corazon Mulles, MD

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.