Active NPI
James Kevin Hart, PA-C
- Physician Assistant
- Woodland, AL
National Provider Identifier
1821158882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.858
- Practice address
- 76 County Road
Suite 3
Woodland, AL 36280 - Phone
- (256) 449-2001
- NPI assigned
- Dec 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.858 | AL | Primary |
| Physician Assistant | 363A00000X | 003428 | GA |
Addresses
Primary practice location
76 County Road
Suite 3
Woodland, AL 36280
Mailing address
119 Ambulance Drive
Suite 202
Carrollton, GA 30117-3857
Phone (770) 838-8710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970028537 | Other | FL | RAIL ROAD MEDICARE |
| 100001778A | Medicaid | GA |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121112000332 | AL | Practitioner - Physician Assistant | 6406916733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- TMC Woodland Family Healthcare, Inc.
Practice addresses (Care Compare)
76 County Rd
Woodland, AL 36280-5211
Phone (256) 449-2001
Hospital & facility affiliations
- Amedisys Home Health of Anniston
- Tanner Medical Center-East Alabama
- Tanner Medical Center - Carrollton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003428 | GA | MD | Psychiatry Physician |
| PA.858 | AL | MD | Physician Assistant |
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anniston, AL
- NPI 1245298892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1821158882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DRIVE",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"telephone_number": "770-838-8710",
"fax_number": "770-838-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 COUNTY ROAD",
"address_2": "SUITE 3",
"city": "WOODLAND",
"state": "AL",
"postal_code": "36280",
"telephone_number": "256-449-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JAMES",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.858",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003428",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "970028537",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001778A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.