Active NPI
Jennifer Denise Stinson, M.D.
- Pediatrics Physician
- Ozark, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME120872
- Practice address
- 2126 W Roy Parker Rd Ste 204
Ozark, AL 36360-8566 - Phone
- (334) 445-7337
- Fax
- (334) 445-0175
- NPI assigned
- Jun 30, 2006
- Last updated
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME120872 | FL | Primary |
Addresses
Primary practice location
2126 W Roy Parker Rd Ste 204
Ozark, AL 36360-8566
Mailing address
126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-50723 | Other | AL | BC-BS ALABAMA |
| 009960100 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Alabama School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 791-1881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120872 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan Pediatric Clinic, P. a. | Pediatrics | Current | Accepting new patients |
Locations
126 Clinic Dr
Dothan, AL 36303
Phone (334) 791-1881
5565 Montgomery Hwy
Dothan, AL 36303
Phone (334) 699-3733
526 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 308-1166
323 E Barbour St
Eufaula, AL 36027
Phone (334) 619-0940
2125 W Roy Parker Rd
Ozark, AL 36360
Phone (334) 445-7337
2126 W Roy Parker Rd
Ste 204
Ozark, AL 36360
Phone (334) 445-1025
Interoperability endpoints
- jenniferstinson@dpc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dothan, AL
- NPI 1376508788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1720017155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 CLINIC DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031980",
"telephone_number": "334-793-1881",
"fax_number": "334-712-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 W ROY PARKER RD STE 204",
"city": "OZARK",
"state": "AL",
"postal_code": "363608566",
"telephone_number": "334-445-7337",
"fax_number": "334-445-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINSON",
"first_name": "JENNIFER",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME120872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS ALABAMA",
"identifier": "515-50723",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009960100",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.