Individual provider Active NPI

Bethany Ann Jackson, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Florence, AL
National Provider Identifier
1750517835
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
33311 Issued in AL
Practice address
145 Ana Dr
Florence, AL 35630-1731
Phone
(256) 284-7280
Fax
(256) 284-7284
NPI assigned
Jun 3, 2009
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 33311 AL Primary

Addresses

Primary practice location

145 Ana Dr
Florence, AL 35630-1731

Mailing address

PO Box 490
Florence, AL 35631-0490
Phone (256) 284-7280

Other identifiers 1

IdentifierTypeStateIssuer
188253MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.jackson.1@34138.direct.athenahealth.com Direct

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
I20140618001342 AL Practitioner - Endocrinology 9638393440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 Ana Dr
Florence, AL 35630-1731
Phone (256) 284-7280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.95 of 100Reported as group
Quality
60.43
Improvement activities
40
Cost
79.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33311ALMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Florence Endocrine Clinic a Professional Limited Liability Company Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2016 Accepting new patients

Locations

145 Ana Dr
Florence, AL 35630
Phone (256) 284-7280

1941 Florence Blvd
Florence, AL 35630
Phone (256) 284-7280

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.

Hospital & facility affiliations 5

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1750517835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310490",
            "telephone_number": "256-284-7280",
            "fax_number": "256-284-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301731",
            "telephone_number": "256-284-7280",
            "fax_number": "256-284-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "33311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188253",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.jackson.1@34138.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "145 Ana Dr",
            "city": "Florence",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356301731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.