Jonathan Peter Southworth, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO780 Issued in AL

Practice address

1 West Lakeshore Drive
Suite 100
Birmingham, AL 35209-7271

Phone

(205) 930-2950

Fax

(205) 930-2957

NPI assigned

Feb 6, 2006

Reactivated

Sep 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Family Practice

Education

West Virginia School of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Home Health Home health agency, Pell City, AL, CCN 017145
• Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
• Amedisys Home Health Home health agency, Trussville, AL, CCN 017154
• St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.southworth.1@15135.direct.athenahealth.com
• Direct secure messaging: ms_jsouthwo@landmarkhealth-direct.org

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.

• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Attentus Moulton, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1124062286
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Attentus Moulton, LLC

  • Certified Registered Nurse Anesthetist
  • Moulton, AL
  • NPI 1174968572
  NPD
• Attentus Moulton, LLC

  • General Acute Care Hospital
  • Moulton, AL
  • NPI 1568453389
  NPD
• Attentus Moulton, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1760930200
  NPD
• Pineleaf Emergency Physicians LLC

  • Emergency Medicine Physician
  • Brewton, AL
  • NPI 1144279993
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Alabama, LLC

  • Home Health Agency
  • Trussville, AL
  • NPI 1568416642
  Care Compare affiliation Name & address match
• Amedisys Alabama, LLC

  • Home Health Agency
  • Anniston, AL
  • NPI 1245298892
  Care Compare affiliation
• St. Vincent'S Home Health, LLC

  • Home Health Agency
  • Pell City, AL
  • NPI 1497862551
  Care Compare affiliation
• St. Vincent'S St. Clair, LLC

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1831161611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST LAKESHORE DRIVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-930-2950",
            "fax_number": "205-930-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST LAKESHORE DRIVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-930-2950",
            "fax_number": "205-930-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "JONATHAN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-08-22",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555035",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060008",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southside Chiropractic & Wellness
• Southside Family Dentistry, Inc.
• Southside Pain Specialists, PC
• Southview Medical Group, PC
• Amanda Hudson Southwell, FNP
• Andrezza Souza, M.D.
• Joseph Thomas Sowder, MD
• Sara Sowder, CRNP
• Ardy Rajae Sowe
• John Sowell, RPH, PHD

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.