Individual provider Active NPI

Jaime Dunn, PA

  • Medical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1720413222
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.908 Issued in AL
Practice address
1401 Edwards Lake Rd
Birmingham, AL 35235-2724
Phone
(205) 853-3963
Fax
(205) 853-3966
NPI assigned
Sep 4, 2013
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.908 AL Primary

Addresses

Primary practice location

1401 Edwards Lake Rd
Birmingham, AL 35235-2724

Mailing address

1401 Edwards Lake Rd
Birmingham, AL 35235-2724
Phone (205) 853-3963

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000630 AL Practitioner - Physician Assistant 7012135783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gail S Westhoven PCGroup PAC ID 9739161548, 3 clinicians

Practice addresses (Care Compare)

1401 Edwards Lake Rd
Birmingham, AL 35235-2724
Phone (205) 853-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.908ALMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jdunn@associatedderm.emadirect.md

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1720413222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EDWARDS LAKE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352724",
            "telephone_number": "205-853-3963",
            "fax_number": "205-853-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EDWARDS LAKE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352724",
            "telephone_number": "205-853-3963",
            "fax_number": "205-853-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.