Individual provider Active NPI

Thomas Lee Arnold Jr., MD

  • Emergency Medicine Physician
  • Jasper, AL
National Provider Identifier
1710914841
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16275 Issued in AL
Practice address
2708 Highway 78 East
Jasper, AL 35501
Phone
(205) 387-2253
Fax
(205) 387-2405
NPI assigned
Jun 26, 2006
Last updated
Oct 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16275 AL Primary

Addresses

Primary practice location

2708 Highway 78 East
Jasper, AL 35501

Mailing address

2708 Highway 78 East
P.O. Box 708
Jasper, AL 35502-0708
Phone (205) 387-2253

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000098 AL Practitioner - Emergency Medicine 1052201886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16275ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Fayette, LLC CurrentSince Sep 23, 2024 Accepting new patients
Tuscaloosa Medcenter North, LLC Emergency Medicine CurrentSince Mar 17, 2025 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Tuscaloosa Medcenter South, LLC Emergency Medicine PastSince Apr 1, 2008 Accepting new patients
Medcenter Primary Care, LLC Emergency Medicine PastSince Apr 5, 2017 Accepting new patients

Locations

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1710914841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 HIGHWAY 78 EAST",
            "address_2": "P.O. BOX 708",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020708",
            "telephone_number": "205-387-2253",
            "fax_number": "205-387-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 HIGHWAY 78 EAST",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-387-2253",
            "fax_number": "205-387-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "16275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.