Jarrod B. Adkison, M.D.
Individual provider Active NPI Radiation Oncology Physician · Dothan, AL
NPI 1790719318 · NPPES record last updated Jan 28, 2019
Key facts
- NPI
- 1790719318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- MD.29203 (AL)
- Practice address
- 1108 Ross Clark Circle
Southeast Alabama Medical Center, Radiation Oncology
Dothan, AL 36301-3022 - Phone
- (334) 793-8081
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- University of South Alabama College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8080
Hospital & facility affiliations
- Southeast Health Medical Center
- Flowers Hospital
- Medical Center Enterprise
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101008000048 | AL | Practitioner - Radiation Oncology | 0042402083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.29203 | AL | MD | Radiation Oncology Physician |
| ME 106420 | FL | MD | Radiation Oncology Physician |
| 1760 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Radiation Oncology PC | Radiation Oncology | Current |
Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1108 Ross Clark Cir
Ste 100
Dothan, AL 36301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 1760 | WI | |
| Specialist | 174400000X | 29203 | AL | |
| Radiation Oncology Physician | 2085R0001X | ME 106420 | FL | |
| Radiation Oncology Physician | 2085R0001X | MD.29203 | AL | Yes |
Addresses
Primary practice location
1108 Ross Clark Circle
Southeast Alabama Medical Center, Radiation Oncology
Dothan, AL 36301-3022
Mailing address
P.O. Box 5609
Southeast Alabama Medical Center, Radiation Oncology
Dothan, AL 36302-5609
Phone (334) 793-8081
NPI Registry JSON
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1790719318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5609",
"address_2": "SOUTHEAST ALABAMA MEDICAL CENTER, RADIATION ONCOLOGY",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363025609",
"telephone_number": "334-793-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIRCLE",
"address_2": "SOUTHEAST ALABAMA MEDICAL CENTER, RADIATION ONCOLOGY",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKISON",
"first_name": "JARROD",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "1760",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "29203",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME 106420",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AL",
"license": "MD.29203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Dothan, AL · Radiation Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.