Active NPI
Mark Alan Prevost, MD
- Orthopaedic Surgery Physician
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 24066
- Practice address
- 2950 Highway 78 E
Jasper, AL 35501-8903 - Phone
- (205) 221-5374
- Fax
- (205) 385-0382
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 24066 | AL | |
| Orthopaedic Surgery Physician | 207X00000X | 24066 | AL | Primary |
Addresses
Primary practice location
2950 Highway 78 E
Jasper, AL 35501-8903
Mailing address
2950 Highway 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374
Other practice location 1
87 19th St W Ste 300
Jasper, AL 35501-5430
Phone (205) 221-5374
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
- Orthopedic Surgery
- Education
- University of Miami, LM Miller School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849
3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000
3400 Hwy 78 E
Suite 110
Jasper, AL 35501-8954
Phone (205) 221-1755
831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663
87 19TH St W
Suite 300
Jasper, AL 35501-5430
Phone (205) 221-3606
Hospital & facility affiliations
- Prohealth Home Health, LLC
- Walker Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 80.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 202 |
| Laminectomy or laminotomy (partial removal of spine bones) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24066 | AL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopaedic Alliance PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Baptist Health Centers LLC | Specialist | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Southern Orthopaedic Alliance, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopedic Associates, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
2950 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5374
87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606
831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Orthopaedic Surgery Physician
- Mobile, AL
- NPI 1588364228
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Durable Medical Equipment & Medical Supplies
- Brewton, AL
- NPI 1093561896
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1477662211
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jasper, AL
- NPI 1932553385
-
- Home Health Agency
- Birmingham, AL
- NPI 1194324624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1720086861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355018903",
"telephone_number": "205-221-5374",
"fax_number": "205-385-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355018903",
"telephone_number": "205-221-5374",
"fax_number": "205-385-0382"
}
],
"practiceLocations": [
{
"address_1": "87 19th St W Ste 300",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "AL",
"postal_code": "355015430",
"country_code": "US",
"telephone_number": "205-221-5374",
"fax_number": "205-385-0382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREVOST",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AL",
"license": "24066",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "24066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.