Leroy Jemison Jr., MD
Individual provider Active NPI Internal Medicine Physician · Tuscaloosa, AL
NPI 1851979389 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1851979389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD51650 (AL)
- Practice address
- 850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457 - Phone
- (205) 348-1770
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capstone Health Services Foundation PC
Practice addresses (Care Compare)
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722002922 | AL | Practitioner - Internal Medicine | 9133506736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Foundation PC | Current |
Accepting new patients | |
| Capstone Health Services Foundation PC | Current |
Accepting new patients |
Locations
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
Interoperability endpoints
- leroy.jemisonmd.p1@direct.umc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD51650 | AL | Yes |
Addresses
Primary practice location
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Mailing address
1900 N Bayshore Dr Apt 1011
Miami, FL 33132-3005
Other practice location 1
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000
NPI Registry JSON
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1851979389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N BAYSHORE DR APT 1011",
"city": "MIAMI",
"state": "FL",
"postal_code": "331323005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 PETER BRYCE BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354017457",
"telephone_number": "205-348-1770"
}
],
"practiceLocations": [
{
"address_1": "703 N Flamingo Rd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281006",
"country_code": "US",
"telephone_number": "954-436-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEMISON",
"first_name": "LEROY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD51650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Aaron Jasper
- Jean F. Pointon P.C.
- Jeans Transportation Service
- John Berger Jeans III
- Juanetta Jemison
- Jenkins-Richardson & Associates
- Kimberly Jenkins-Richardson
- Ashley Bockting Jens
- Cassandra Jensen
- Jerry L. Hart PH.D. Clinical Psychologist P.C.
All providers in Tuscaloosa, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.