Individual provider Active NPI

Jason Lee Clemons, M.D.

  • Family Medicine Physician
  • Bessemer, AL
National Provider Identifier
1881031367
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.33627 Issued in AL
Practice address
2910 Morgan Rd Ste 100
Bessemer, AL 35022
Phone
(205) 403-2020
Fax
(205) 930-2158
NPI assigned
May 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.33627 AL Primary

Addresses

Primary practice location

2910 Morgan Rd Ste 100
Bessemer, AL 35022

Mailing address

2910 Morgan Rd Ste 100
Bessemer, AL 35022-6484
Phone (205) 403-2020

Other practice location 1

320 Coosa St E
Talladega, AL 35160-2276
Phone (256) 362-4000

Other identifiers 2

IdentifierTypeStateIssuer
189257MedicaidAL
188723MedicaidAL

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
I20160812001314 AL Practitioner - Family Practice 1658594452 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Jun 21, 2023 Accepting new patients
Vincentian Physician Services LLC Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 21, 2023 Accepting new patients

Locations

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

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1881031367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 MORGAN RD STE 100",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226484",
            "telephone_number": "205-403-2020",
            "fax_number": "205-930-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MORGAN RD STE 100",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-403-2020",
            "fax_number": "205-930-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Coosa St E",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602276",
            "country_code": "US",
            "telephone_number": "256-362-4000",
            "fax_number": "256-362-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "JASON",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189257",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188723",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.