Individual provider Active NPI

Jason H. Todd, M.D.

  • Family Medicine Physician
  • Pelham, AL
National Provider Identifier
1801825401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27595 Issued in AL
Practice address
30 Racquet Club Parkway
Pelham, AL 35124
Phone
(205) 620-1087
Fax
(205) 620-1091
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27595 AL Primary

Addresses

Primary practice location

30 Racquet Club Parkway
Pelham, AL 35124

Mailing address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Phone (205) 715-5910

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
I20060901000254 AL Practitioner - Family Practice 7517961618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Healthcare Development LLCGroup PAC ID 9739283813, 2 clinicians

Practice addresses (Care Compare)

2503 Hwy 150
Suite 105
Hoover, AL 35244-3514
Phone (205) 987-6801

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27595ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Healthcare Development LLC CurrentSince May 1, 2008 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 24, 2016 Accepting new patients
After Hours Clinic Inc Sumiton Family Medicine CurrentSince Sep 5, 2015 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Mar 24, 2016 Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

2503 John Hawkins Pkwy
Ste 105
Hoover, AL 35244
Phone (205) 987-6801

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

40900 US Highway 280
Sylacauga, AL 35150
Phone (256) 369-0022

837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134

1960 Gadsden Hwy
Ste 108
Trussville, AL 35235
Phone (205) 655-1016

3306 20th Ave
Valley, AL 36854
Phone (205) 545-5090

Interoperability endpoints

  • Direct secure messaging: jasontodd@huc-al.direct.office.nextgen.com

Organizations & group practices 4

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 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801825401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-715-5910",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RACQUET CLUB PARKWAY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-620-1087",
            "fax_number": "205-620-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JASON",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.