Individual provider Active NPI

Seth Adam Jarrell, M.D.

  • Internal Medicine Physician
  • Florence, AL
National Provider Identifier
1891135208
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.33761 Issued in AL
Practice address
204 Ana Dr
Florence, AL 35630-1750
Phone
(256) 767-5940
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23537 MS
Internal Medicine Physician 207R00000X MD.33761 AL Primary

Addresses

Primary practice location

204 Ana Dr
Florence, AL 35630-1750

Mailing address

204 Ana Dr
Florence, AL 35630-1750
Phone (256) 767-5940

Other practice location 1

148 J C Mauldin Hwy
Killen, AL 35645-9106
Phone (256) 757-5353

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
I20161004001881 AL Practitioner - Internal Medicine 7416264189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inter Nal Medicine Clinic,LLCGroup PAC ID 5294757100, 4 clinicians

Practice addresses (Care Compare)

204 Ana Dr
Suite B
Florence, AL 35630-1750
Phone (256) 767-5940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.33761ALMDInternal Medicine Physician
23537MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince Oct 8, 2017 Accepting new patients
Inter Nal Medicine Clinic,LLC Internal Medicine CurrentSince Oct 2, 2017 Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

204 Ana Dr
Ste B
Florence, AL 35630
Phone (205) 767-5940

204 Ana Dr
Florence, AL 35630
Phone (256) 767-5940

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

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.

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891135208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301750",
            "telephone_number": "256-767-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301750",
            "telephone_number": "256-767-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 J C Mauldin Hwy",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "356459106",
            "country_code": "US",
            "telephone_number": "256-757-5353",
            "fax_number": "256-757-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "SETH",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23537",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.33761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.