Active NPI
John Raymond Durant, MD
- General Practice Physician
- Dadeville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19640
- Practice address
- 301 Mariarden Rd
Ste D
Dadeville, AL 36853-0129 - Phone
- (256) 825-7871
- Fax
- (256) 825-5742
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19640 | AL | Primary |
Addresses
Primary practice location
301 Mariarden Rd
Ste D
Dadeville, AL 36853-0129
Mailing address
PO Box 129
Dadeville, AL 36853-0129
Phone (256) 825-7871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543420001 | Medicaid | AL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031112000675 | AL | Practitioner - Family Practice | 7810800091 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ivy Creek of Tallapoosa LLC
Practice addresses (Care Compare)
201 Mariarden Rd
Dadeville, AL 36853-6244
Phone (256) 825-7821
201 Mariarden Rd
Dadeville, AL 36853-6245
301 Mariarden Rd
Dadeville, AL 36853-6245
Phone (256) 825-7871
Hospital & facility affiliations
- Lake Martin Home Health
- Ivy Creek Hospice
- Lake Martin Community Hospital
- The East Alabama Healthcare Authority
- Russell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19640 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy Creek Family Care of Lake Martin | Current | Accepting new patients | |
| Ivy Creek of Tallapoosa LLC | Current | Accepting new patients | |
| Ivy Creek of Tallapoosa, LLC | Past | Accepting new patients |
Locations
301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871
301 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-7871
201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677
Interoperability endpoints
- john.durant@lmf.direct.medconnecthealth.com
- john.durant@lmfmed.direct.medconnect-inc.com
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 and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Dadeville, AL
- NPI 1598783904
-
- Home Health Agency
- Dadeville, AL
- NPI 1225211709
-
- Clinical Medical Laboratory
- Dadeville, AL
- NPI 1932783693
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dadeville, AL
- NPI 1225211709
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1790717858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "DADEVILLE",
"state": "AL",
"postal_code": "368530129",
"telephone_number": "256-825-7871",
"fax_number": "256-825-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MARIARDEN RD",
"address_2": "STE D",
"city": "DADEVILLE",
"state": "AL",
"postal_code": "368530129",
"telephone_number": "256-825-7871",
"fax_number": "256-825-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANT",
"first_name": "JOHN",
"middle_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "19640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "543420001",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dadeville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.