Individual provider Active NPI

Jennifer Denise Stinson, M.D.

  • Pediatrics Physician
  • Ozark, AL
National Provider Identifier
1720017155
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME120872 Issued in FL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
515-50723OtherALBC-BS ALABAMA
009960100MedicaidAL

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
I20100217000044 AL Practitioner - Pediatric Medicine 4981748746 Reassigns benefits to 1 organization

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
Dothan Pediatric Clinic, P. a.Group PAC ID 0749245330, 9 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120872FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Pediatric Clinic, P. a. Pediatrics CurrentSince Sep 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.