Jennifer Koch Mezick, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

782 Issued in AL

Practice address

1613 N McKenzie St
Foley, AL 36535-2247

Phone

(251) 949-3400

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkmezick@direct.uabmedicine.org

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.

• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801063938

  AL

  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723

  AL

  Medicare reassignment NPD
• Gmuc of Springhill LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952617508

  AL

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1699058917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GAINES AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092460",
            "telephone_number": "251-463-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZICK",
        "first_name": "JENNIFER",
        "middle_name": "KOCH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medistat RX, LLC
• Medstar Emergency Medical Service, LLC
• Menm, LLC
• William Paul Mentzer Jr., MSPT
• Katharina Meyer, MD
• Michael C Hoffman, M.D., P.C.
• Maria Michael, OTRL
• Stephen A Michael
• Elizabeth Anne Michon, CRNP
• Emilee Middleton

• All providers in Foley, AL
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.