NPIMap

Organization Active NPI

Jerry McLane Internal Medicine LLC

  • Internal Medicine Physician
  • Bessemer, AL
National Provider Identifier
1629274022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8903 Issued in AL
Legal business name
JERRY MCLANE INTERNAL MEDICINE LLC
Practice address
1088 9TH Ave SW
Suite 106
Bessemer, AL 35022-4530
Phone
(205) 424-5664
Fax
(205) 424-1564
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Kelly Sullivan, R.N.
Title
Office Manager
Phone
(205) 424-5664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8903 AL Primary

Addresses

Primary practice location

1088 9TH Ave SW
Suite 106
Bessemer, AL 35022-4530

Mailing address

PO Box 430
Bessemer, AL 35021-0430
Phone (205) 424-5664

National Provider Directory

National Provider Directory

Locations

2185 Parkway Lake Dr
Hoover, AL 35244
Phone (205) 403-7400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629274022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350210430",
            "telephone_number": "205-424-5664",
            "fax_number": "205-424-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 9TH AVE SW",
            "address_2": "SUITE 106",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224530",
            "telephone_number": "205-424-5664",
            "fax_number": "205-424-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MCLANE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-424-5664",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.