Active NPI
Jeffrey Sloan, MD
- Emergency Medicine Physician
- Atmore, AL
National Provider Identifier
1790724276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14752
- Practice address
- 401 Medical Park Dr
Atmore, AL 36502-3006 - Phone
- (904) 805-1300
- Fax
- (904) 805-1302
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14752 | AL | Primary |
Addresses
Primary practice location
401 Medical Park Dr
Atmore, AL 36502-3006
Mailing address
PO Box 863535
Orlando, FL 32886-3535
Phone (904) 805-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51521952 | Other | AL | BLUE CROSS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14752 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy Creek of Tallapoosa LLC | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek of Tallapoosa | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek of Tallapoosa, LLC | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Baldwin Emergency Physicians, P.C.. | Emergency Medicine | Past | Accepting new patients |
| Andalusia Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Stone County Hospital, Inc | Past | Accepting new patients | |
| Clanton Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Southern Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871
201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677
500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
Interoperability endpoints
- jsloan@direct.mhg.com
Organizations & group practices 11
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 Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
- Rural Health Clinic/Center
- Dadeville, AL
- NPI 1932130002
-
- Surgery Physician
- Wetumpka, AL
- NPI 1154642684
-
- Rural Health Clinic/Center
- Wetumpka, AL
- NPI 1508480633
-
- Rural Acute Care Hospital
- Dadeville, AL
- NPI 1720273303
-
- Clinical Medical Laboratory
- Dadeville, AL
- NPI 1932783693
-
- Emergency Medicine Physician
- Andalusia, AL
- NPI 1952356024
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
-
- Emergency Medicine Physician
- Clanton, AL
- NPI 1669428090
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1194736009
-
- Ambulance
- Wiggins, MS
- NPI 1003073057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1790724276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863535",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863535",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MEDICAL PARK DR",
"city": "ATMORE",
"state": "AL",
"postal_code": "365023006",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "14752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51521952",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atmore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.