Individual provider Active NPI

Jackson Reynolds, MD

  • Hematology & Oncology Physician
  • Montgomery, AL
National Provider Identifier
1689036048
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD.44736 Issued in AL
Practice address
4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 273-7000
Fax
(334) 273-2228
NPI assigned
Mar 24, 2016
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD.44736 AL Primary

Addresses

Primary practice location

4145 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Other practice location 1

920 Madison Ave
Suite 447
Memphis, TN 38103-3438
Phone (901) 448-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220815000027 AL Practitioner - Hematology/Oncology 0143528364 Reassigns benefits to 1 organization
I20250527003407 TN Practitioner - Hematology/Oncology 0143528364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2051 Hamill Rd
Suite 107
Hixson, TN 37343-4653
Phone (423) 698-1844

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.44736ALMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Jul 1, 2025 Accepting new patients
The Health Care Authority for Baptist Health Hematology & Oncology CurrentSince Sep 12, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 12, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4145 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

645 McQueen Smith Rd N
Ste 207
Prattville, AL 36066
Phone (334) 351-1000

2390 N Ocoee St
Cleveland, TN 37311
Phone (423) 339-0300

2051 Hamill Rd
Ste 400
Hixson, TN 37343
Phone (423) 876-0336

2051 Hamill Rd
Ste 107
Hixson, TN 37343
Phone (423) 876-0336

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1689036048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000",
            "fax_number": "334-273-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Madison Ave",
            "address_2": "Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033438",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "MD.44736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.