Individual provider Active NPI

Jonathan Mize, MD

  • Internal Medicine Physician
  • Hueytown, AL
National Provider Identifier
1679505465
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20213 Issued in AL
Practice address
3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone
(205) 491-3299
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20213 AL Primary

Addresses

Primary practice location

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317

Mailing address

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone (205) 491-3299

Other practice location 1

619 19th Street South
Birmingham, AL 35233
Phone (205) 934-6600

Other identifiers 2

IdentifierTypeStateIssuer
000078371MedicaidAL
000078371OtherALBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mize.jonathan@direct.uabmw.org

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
I20130227000261 AL Practitioner - Family Practice 3274788120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Medical W Way
Bessemer, AL 35022-7082
Phone (205) 481-7862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20213ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical West Hospital Authority, an Affiliate of Uab Health System Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
University of Alabama Health Services Foundation, PC. Current Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Aug 1, 2013 Accepting new patients

Locations

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

619 19th St S
Birmingham, AL 35249

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-9889

Interoperability endpoints

  • Direct secure messaging: mize.jonathan@direct.uabmw.org

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.

Hospital & facility affiliations 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1679505465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-491-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-491-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-934-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078371",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000078371",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mize.jonathan@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "3004 Allison Bonnett Memorial Dr",
            "city": "Hueytown",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350232317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

Verify at the official NPI Registry.