Individual provider Active NPI

Jenny R Doss, CRNP

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1700869609
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-067338 Issued in AL
Practice address
2851 Highway 78 E
Jasper, AL 35501-8916
Phone
(205) 754-8030
Fax
(205) 754-8031
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 1067338 AL
Family Nurse Practitioner 363LF0000X 1-067338 AL Primary

Addresses

Primary practice location

2851 Highway 78 E
Jasper, AL 35501-8916

Mailing address

2851 Highway 78 E
Jasper, AL 35501-8916
Phone (205) 754-8030

Other identifiers 2

IdentifierTypeStateIssuer
183698MedicaidAL
1164743068MedicaidAL

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
I20051028000408 AL Practitioner - Nurse Practitioner 9032136080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2851 Hwy 78 E
Jasper, AL 35501-8916
Phone (205) 754-8030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1067338ALMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 30, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 30, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Growing Up Pediatrics, P.C. Past Accepting new patients
Abc Family Medicine Inc PastSince Feb 1, 2019 Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

2851 Highway 78 E
Jasper, AL 35501
Phone (205) 754-8030

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1700869609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018916",
            "telephone_number": "205-754-8030",
            "fax_number": "205-754-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018916",
            "telephone_number": "205-754-8030",
            "fax_number": "205-754-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "JENNY",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1067338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-067338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183698",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164743068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.