Active NPI
Jamie Howard Peavy, CRNP
- Family Nurse Practitioner
- Alexander City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-102855
- Practice address
- 3316 Highway 280
Alexander City, AL 35010-3369 - Phone
- (256) 329-7308
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-102855 | AL | Primary |
Addresses
Primary practice location
3316 Highway 280
Alexander City, AL 35010-3369
Mailing address
12761 Highway 22 East
New Site, AL 36256-0939
Phone (256) 392-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-102855 | Other | AL | LICENCE NUMBER |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Russell Hospital Corporation
Practice addresses (Care Compare)
1229 S Main St
Goodwater, AL 35072-9040
Phone (256) 743-1300
12761 Hwy 22 E
New Site, AL 36256-3258
Phone (256) 392-3300
3504 Hwy 280
Alexander City, AL 35010-3371
Phone (256) 329-7887
Hospital & facility affiliations
- Enhabit Home Health
- Russell Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.09 of 100
- Quality
- 52.05
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 68.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102855 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Hospital Corporation | Current | Accepting new patients | |
| Russell Hospital Corporation | Current | Accepting new patients | |
| Nes Tennessee Inc | Current | Accepting new patients | |
| Nes Tennessee Inc | Current | Accepting new patients | |
| Russell Hospital Corporation | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Current | Accepting new patients | |
| Russell Hospital Corporation | Current | Accepting new patients | |
| Nes Tennessee Inc | Family | Current | Accepting new patients |
| Russell Hospital Corporation | Current | Accepting new patients | |
| The Russell Hospital Corporation | Past | Accepting new patients |
Locations
3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100
3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474
3504 Highway 280
Alexander City, AL 35010
Phone (256) 329-7887
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1034 S Tallassee St
Dadeville, AL 36853
Phone (256) 825-9900
21342 AL Highway 9
Goodwater, AL 35072
Phone (256) 743-1300
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
12761 Highway 22 E
New Site, AL 36256
Phone (256) 329-7100
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Family Medicine Physician
- Alexander City, AL
- NPI 1417252537
-
- Rural Health Clinic/Center
- New Site, AL
- NPI 1700419868
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
-
- Emergency Medicine Physician
- Monroeville, AL
- NPI 1013519230
-
- Emergency Medicine Physician
- Alexander City, AL
- NPI 1881191039
-
- Rural Health Clinic/Center
- Dadeville, AL
- NPI 1215953799
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alexander City, AL
- NPI 1306980412
-
- Primary Care Clinic/Center
- Goodwater, AL
- NPI 1174990626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, AL
- NPI 1366904161
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1679023071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12761 HIGHWAY 22 EAST",
"city": "NEW SITE",
"state": "AL",
"postal_code": "362560939",
"telephone_number": "256-392-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 HIGHWAY 280",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103369",
"telephone_number": "256-329-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAVY",
"first_name": "JAMIE",
"middle_name": "HOWARD",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2021-03-18",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-102855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "1-102855",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexander City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.