Individual provider Active NPI

Archana Jain, M.D.

  • Rheumatology Physician
  • Hoover, AL
National Provider Identifier
1720189590
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
27545 Issued in AL
Practice address
3000 Meadow Lake Dr Ste 101
Hoover, AL 35242-0302
Phone
(205) 855-5575
Fax
(205) 272-5040
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 27545 AL Primary

Addresses

Primary practice location

3000 Meadow Lake Dr Ste 101
Hoover, AL 35242-0302

Mailing address

3000 Meadow Lake Dr Ste 101
Hoover, AL 35242-0302
Phone (205) 855-5575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address archana.jain.1@9954.direct.athenahealth.com

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
I20070105000358 AL Practitioner - RheumatologyPractitioner - Internal Medicine 6002815628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
JMD Rheum, LLCGroup PAC ID 8224403167, 3 clinicians

Practice addresses (Care Compare)

3000 Meadow Lake Dr
Suite 101
Hoover, AL 35242-0302
Phone (205) 218-1547

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27545ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 13, 2012 Accepting new patients
JMD Rheum LLC Rheumatology CurrentSince Jan 31, 2023 Accepting new patients
Affinity Physician Services LLC CurrentSince Feb 1, 2018 Accepting new patients
Whatley Health Services Inc Past Accepting new patients

Locations

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

4600 Highway 280
Ste 210
Birmingham, AL 35242
Phone (205) 592-5000

3000 Meadow Lake Dr
Ste 101
Hoover, AL 35242
Phone (205) 855-5575

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHADD/Endpoint/BBHADD
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHADD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1720189590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEADOW LAKE DR STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352420302",
            "telephone_number": "205-855-5575",
            "fax_number": "205-272-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEADOW LAKE DR STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352420302",
            "telephone_number": "205-855-5575",
            "fax_number": "205-272-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ARCHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "27545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "archana.jain.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4600 Highway 280 Ste 210",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352425186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.