Individual provider Active NPI

Jamie Howard Peavy, CRNP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1679023071
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-102855 Issued in AL
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

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1-102855OtherALLICENCE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128001371 AL Practitioner - Nurse Practitioner 9436438983 Reassigns benefits to 5 organizations

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 CorporationGroup PAC ID 6406754431, shared by 4 NPIs, 48 clinicians

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 Home health agency, Troy, AL, CCN 017324
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score
71.09 of 100Reported as group
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

LicenseStateTypeSpecialty
1-102855ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation Current Accepting new patients
Russell Hospital Corporation Current Accepting new patients
Nes Tennessee Inc CurrentSince Jan 28, 2020 Accepting new patients
Nes Tennessee Inc CurrentSince Jan 28, 2020 Accepting new patients
Russell Hospital Corporation CurrentSince Oct 24, 2016 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2017 Accepting new patients
Russell Hospital Corporation CurrentSince Oct 24, 2016 Accepting new patients
Nes Tennessee Inc Family Current Accepting new patients
Russell Hospital Corporation CurrentSince Nov 5, 2016 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.