Individual provider Active NPI

Jeffrey Coykendall, MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1659707867
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.42202 Issued in AL
Practice address
1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone
(205) 557-7022
Fax
(205) 831-2849
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 MD.42202 AL Primary

Addresses

Primary practice location

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Other practice location 2

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Other practice location 3

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

Other practice location 4

3000 Rosa L Parks Ave
Montgomery, AL 36105-1502
Phone (334) 777-1290

Other practice location 5

2525 Oakwood Ave NW Ste A
Huntsville, AL 35810-4410
Phone (256) 513-5013

Other practice location 6

3302 15th St Ste 100
Tuscaloosa, AL 35401-2732
Phone (205) 558-0877

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
I20230711003993 AL Practitioner - Family Practice 2365801131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

1687 Ctr Point Pkwy
Suite 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Alabama, LLC Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Signify Health, LLC CurrentSince May 29, 2023 Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

2525 Oakwood Ave NW
Ste A
Huntsville, AL 35810
Phone (256) 513-5013

3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017

3000 Rosa L Parks Ave
Montgomery, AL 36105
Phone (334) 263-0227

3302 15th St
Ste 100
Tuscaloosa, AL 35401
Phone (205) 558-0877

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659707867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 CENTER POINT PKWY STE 121",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155525",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2152 Old Springville Rd",
            "address_purpose": "LOCATION",
            "city": "Center Point",
            "state": "AL",
            "postal_code": "352154005",
            "country_code": "US",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Rosa L Parks Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361051502",
            "country_code": "US",
            "telephone_number": "334-777-1290",
            "fax_number": "334-746-7684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Oakwood Ave NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358104410",
            "country_code": "US",
            "telephone_number": "256-513-5013",
            "fax_number": "256-484-5504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3302 15th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012732",
            "country_code": "US",
            "telephone_number": "205-558-0877",
            "fax_number": "659-219-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYKENDALL",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.42202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.