Individual provider Active NPI

Mark Alan Prevost II, MD

  • Orthopaedic Surgery Physician
  • Jasper, AL
National Provider Identifier
1811350481
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.36675 Issued in AL
Practice address
2950 Highway 78 E
Jasper, AL 35501-8903
Phone
(205) 221-5374
Fax
(205) 385-0382
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD.36675 AL
Orthopaedic Surgery Physician 207X00000X MD.36675 AL Primary

Addresses

Primary practice location

2950 Highway 78 E
Jasper, AL 35501-8903

Mailing address

2950 Highway 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

Other practice location 1

87 19th St W Ste 300
Jasper, AL 35501-5430
Phone (205) 221-5374

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
I20220719000022 AL Practitioner - Orthopedic Surgery 7618260654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

2950 Hwy 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

87 19TH St W
Suite 300
Jasper, AL 35501-5430
Phone (205) 221-3606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion213
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36675ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince May 11, 2022 Accepting new patients
Southern Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Aug 10, 2023 Accepting new patients
Baptist Health Centers, LLC CurrentSince May 11, 2022 Accepting new patients
Southern Orthopaedic Alliance, PLLC Orthopaedic Surgery CurrentSince Aug 10, 2023 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2950 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5374

87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

200 Montgomery Hwy
Ste 125
Vestavia Hills, AL 35216
Phone (205) 822-4357

Interoperability endpoints

  • Direct secure messaging: miiprevost79844@baptisthealthaldirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1811350481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 19th St W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015430",
            "country_code": "US",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVOST",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AL",
            "license": "MD.36675",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.36675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.