NPIMap

Individual provider Active NPI

John Mattox Raines, D.O.

  • Family Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1679587737
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
417640 Issued in AL
Practice address
190 Independent Dr Ste a
Rainbow City, AL 35906-3286
Phone
(256) 442-1834
Fax
(877) 991-4819
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 417640 AL Primary

Addresses

Primary practice location

190 Independent Dr Ste a
Rainbow City, AL 35906-3286

Mailing address

190 Independent Dr Ste a
Rainbow City, AL 35906-3286
Phone (256) 442-1834

Other identifiers 3

IdentifierTypeStateIssuer
51519309OtherALBLUE CROSS AND BLUE SHIEL
01D0888565OtherALCLIA
009938835MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000717 AL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4284522475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Medical Holdings LLCGroup PAC ID 1951611417, 3 clinicians

Practice addresses (Care Compare)

190 Independent Dr
Suite a
Rainbow City, AL 35906-3286
Phone (256) 442-1834

3731 Rainbow Dr B
Rainbow City, AL 35906-6307

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
417640ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Holdings, LLC CurrentSince Aug 10, 2015 Accepting new patients
Premier Pain and Spine, LLC PastSince Nov 1, 2021 Accepting new patients
Acsh Primary Care of Alabama, LLC Past Accepting new patients

Locations

3731 Rainbow Dr
Ste B
Rainbow City, AL 35906
Phone (256) 442-1834

190 Independent Dr
Ste A
Rainbow City, AL 35906
Phone (256) 442-1834

Interoperability endpoints

  • Direct secure messaging: jmattraines@rfm-al.direct.office.nextgen.com

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 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1679587737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 INDEPENDENT DR STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063286",
            "telephone_number": "256-442-1834",
            "fax_number": "877-991-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 INDEPENDENT DR STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063286",
            "telephone_number": "256-442-1834",
            "fax_number": "877-991-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "JOHN",
        "middle_name": "MATTOX",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-13",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "417640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "51519309",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D0888565",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.