Jonathan L. Skinner, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18574 Issued in AL

Practice address

105 Professional LN
Dothan, AL 36303-3875

Phone

(334) 699-0060

Fax

(334) 699-0061

NPI assigned

Jun 15, 2005

Last updated

May 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

53.52 of 100Reported as individual

Quality

100

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jonathan L Skinner LLC

  dba Southern Surgical

  • Surgery Physician
  • Dothan, AL
  • NPI 1528340536
  Authorized official Same address or phone
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1730184912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-699-0060",
            "fax_number": "334-699-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-699-0060",
            "fax_number": "334-699-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JONATHAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "18574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135159",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BLUECROSS BLUESHIELD #",
            "identifier": "000097074",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryals Greyson Sinquefield, RBT
• Sirkis Counseling Services LLC
• Lauren Harris Sirkis, MED, LPC, NCC
• Abinaya Sivakumar, MD
• Holly Sizemore
• Shirley Ann Skinner, CRNA
• Kelly Skipper, LPC
• Skye Consultorio Medico LLC
• Sleep Therapeutics Corporation
• Cliff Sloop IV, NP

• Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.