Individual provider Active NPI

James Evander Bean Raulston, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
National Provider Identifier
1780004846
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
625 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 638-9589
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

625 19TH St S
Birmingham, AL 35233-1900

Mailing address

1700 6TH Ave S
Birmingham, AL 35233-1802
Phone (205) 638-9589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170713002816 AL Practitioner - Pediatric Medicine 7416170402 Reassigns benefits to 1 organization
I20200829000040 TN Practitioner - Cardiovascular Disease (Cardiology) 7416170402 Reassigns benefits to 2 organizations
I20260414000353 NC Practitioner - Cardiovascular Disease (Cardiology) 7416170402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3990 E US Hwy 64 Alt
Murphy, NC 28906

975 E 3Rd St
Box 159
Chattanooga, TN 37403-2163

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 31, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 31, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

1700 6th Ave S
Ste 9100
Birmingham, AL 35233
Phone (205) 934-3460

1700 6th Ave S
Birmingham, AL 35233
Phone (205) 934-4277

900 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-5437

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

101 Keith St SW
Cleveland, TN 37311
Phone (423) 778-9671

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1780004846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-638-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-638-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULSTON",
        "first_name": "JAMES",
        "middle_name": "EVANDER BEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.