Individual provider Active NPI

Jean Hilaire Vincent, M.D.

  • Infectious Disease Physician
  • Athens, AL
National Provider Identifier
1841506870
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
36985 Issued in AL
Practice address
22281 US Highway 72
Athens, AL 35613-2600
Phone
(256) 444-4401
Fax
(256) 444-4403
NPI assigned
Aug 27, 2010
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36985 AL
Infectious Disease Physician 207RI0200X 64061 WI
Infectious Disease Physician 207RI0200X 36985 AL Primary

Addresses

Primary practice location

22281 US Highway 72
Athens, AL 35613-2600

Mailing address

PO Box 1077
Florence, AL 35631-1077
Phone (256) 444-4401

Other practice location 1

3103 Florence Blvd
Florence, AL 35634-2546
Phone (256) 444-4401

Other identifiers 1

IdentifierTypeStateIssuer
223108MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36985ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saving Lives Medical LLC Multi-Specialty PastSince Nov 16, 2024 Accepting new patients
Shoals Gastroenterology, LLC Multi-Specialty PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1841506870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356311077",
            "telephone_number": "256-444-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22281 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132600",
            "telephone_number": "256-444-4401",
            "fax_number": "256-444-4403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 Florence Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356342546",
            "country_code": "US",
            "telephone_number": "256-444-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JEAN",
        "middle_name": "HILAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "36985",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "64061",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "36985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.