Jessie Levi Coffey, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4517 Southlake Pkwy
Hoover, AL 35244

Phone

(205) 285-8252

NPI assigned

Dec 21, 2017

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Male

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Medical Center LLCGroup PAC ID 3678947793, 7 clinicians

ENT Center of Northwest Alabama, LLCGroup PAC ID 1850621418, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Alabama Medical Center Hospital, Florence, AL, CCN 010006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Revive Medical Center LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1740996636
  Medicare reassignment Care Compare group NPD
• ENT Center of Northwest Alabama, LLC

  • Otolaryngology Physician
  • Florence, AL
  • NPI 1013577634
  Medicare reassignment Care Compare group
• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment
• Northwest Emergency Physician Group

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1205197951
  Medicare reassignment
• Urgent Care of Alabama LLC

  • Urgent Care Clinic/Center
  • Gardendale, AL
  • NPI 1962840728
  Medicare reassignment
• Trustcare Health, LLC

  dba Trust Care Health

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1427338235

  AL

  Medicare reassignment
• Southern Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Murfreesboro, TN
  • NPI 1568642114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1710493085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-285-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Physicians Plaza, Suite 430",
            "address_2": "3686 Grandview Parkway",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35243",
            "country_code": "US",
            "telephone_number": "205-285-8252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JESSIE",
        "middle_name": "LEVI",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharris Clayton
• Mickalyn Summerford Clemons
• Larynn Clopton
• Jakobson Cobb
• Jessica Cockrell
• Leanna Coffey
• Cole Vision Corporation (Sears Optical #C1055)
• James Plemon Coleman II II, M.D.
• Elizabeth Coleman, LPC
• Kelauney Coleman

• Surgical Physician Assistant in Hoover, AL
• Providers in Hoover, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.