Active NPI
Jonathan David Markham, D.M.D.
- Dentist
- Geneva, AL
National Provider Identifier
1891088548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5826
- Practice address
- 100 W Lake Professional Park Ste 5
Geneva, AL 36340-1200 - Phone
- (334) 248-6816
- NPI assigned
- May 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5826 | AL | Primary |
Addresses
Primary practice location
100 W Lake Professional Park Ste 5
Geneva, AL 36340-1200
Mailing address
100 W Lake Professional Park Ste 5
Geneva, AL 36340-1200
Phone (334) 248-6816
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717001381 | AL | Order and Referring Only - Oral Surgery | 5698098572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva Family Dentistry, LLC | Dentist | Past | Accepting new patients |
| Geneva County Healthcare Authority, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22240/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wiregrass Medical Center | Hospital | Corporate Officer (11.11%) Corporate Director (11.11%) |
Jan 14, 2021 May 12, 2014 |
| Wiregrass Medical Center | Hospital | Corporate Officer Corporate Director |
Jul 14, 2021 Jul 14, 2021 |
| Wiregrass Rehabilitation Center & Nursing Home | Skilled nursing facility | Corporate Director (11.11%) | May 12, 2014 |
| Samson Rural Health Clinic | Rural health clinic | Corporate Officer (11.11%) Corporate Director (11.11%) |
Jan 14, 2021 May 12, 2014 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
Corporate Director, Corporate Officer
-
- Skilled Nursing Facility
- Geneva, AL
- NPI 1144317090
Corporate Director
-
- Rural Health Clinic/Center
- Samson, AL
- NPI 1508440488
Corporate Director, Corporate Officer
Organizations & group practices 2
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.
-
- Dentist
- Geneva, AL
- NPI 1972863348
-
- Critical Access Hospital
- Geneva, AL
- NPI 1134955370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1891088548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W LAKE PROFESSIONAL PARK STE 5",
"city": "GENEVA",
"state": "AL",
"postal_code": "363401200",
"telephone_number": "334-248-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W LAKE PROFESSIONAL PARK STE 5",
"city": "GENEVA",
"state": "AL",
"postal_code": "363401200",
"telephone_number": "334-248-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.