Active NPI
John S Bivona, MD
- Family Medicine Physician
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00027607
- Practice address
- 2201 N Airport Rd
Jasper, AL 35504-7058 - Phone
- (205) 221-9351
- Fax
- (205) 221-4353
- NPI assigned
- Jan 6, 2007
- Last updated
- Nov 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00027607 | AL | Primary |
Addresses
Primary practice location
2201 N Airport Rd
Jasper, AL 35504-7058
Mailing address
PO Box 1474
Jasper, AL 35502-1474
Phone (205) 221-9351
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
- Family Practice
- Education
- University of Alabama School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5295 Preserve Pkwy
Suite 210
Hoover, AL 35244-4702
Phone (205) 682-9124
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00027607 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Jasper Family Practice Center PC | Family Medicine | Current | Accepting new patients |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| HMC Rural Health Clinic LLC | Family Medicine | Past | Accepting new patients |
| Cordova Health and Rehabilitation, LLC | Past | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
5295 Preserve Pkwy
Ste 210
Hoover, AL 35244
Phone (205) 682-6077
2201 N Airport Rd
Jasper, AL 35504
Phone (205) 221-9351
Interoperability endpoints
- john.bivona@jasfamprac.direct.medconnect-inc.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Access Hospice | Hospice | Contracted Managing Employee | Oct 18, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Access Hospice
- Community Based Hospice Care Agency
- Jasper, AL
- NPI 1346542610
Contracted Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Family Medicine Physician
- Jasper, AL
- NPI 1275535361
-
- Skilled Nursing Facility
- Cordova, AL
- NPI 1932156775
-
- Family Medicine Physician
- Jasper, AL
- NPI 1174525950
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Jasper, AL
- NPI 1427016997
-
dba Baptist Health Walker Hospital
- General Acute Care Hospital
- Jasper, AL
- NPI 1932553385
-
dba Aveanna Home Health
- Home Health Agency
- Hoover, AL
- NPI 1851350334
-
dba Aveanna Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
-
- Skilled Nursing Facility
- Cordova, AL
- NPI 1932156775
Nursing home
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
dba Southeast Hospice Network
- Community Based Hospice Care Agency
- Jasper, AL
- NPI 1447879101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1740338904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1474",
"city": "JASPER",
"state": "AL",
"postal_code": "355021474",
"telephone_number": "205-221-9351",
"fax_number": "205-221-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N AIRPORT RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355047058",
"telephone_number": "205-221-9351",
"fax_number": "205-221-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVONA",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00027607",
"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 Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.