Individual provider Active NPI

Jessaka Fife, MD

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1891900957
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28039 Issued in AL
Practice address
2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342
Phone
(334) 451-4512
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28039 AL Primary

Addresses

Primary practice location

2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342

Mailing address

7801 Long Acre St
Montgomery, AL 36116-6748
Phone (334) 799-7910

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
I20160308001463 AL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3678879269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Area Mental Health Authority, Inc.Group PAC ID 8527010917, 9 clinicians
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians
Gardenia Cove Mental Health PCGroup PAC ID 0648534537, 40 clinicians

Practice addresses (Care Compare)

101 Coliseum Blvd
Montgomery, AL 36109-2707
Phone (334) 279-7830

619 19TH St S
CPMC 409
Birmingham, AL 35249-0018
Phone (205) 602-5256

7475 Halcyon Pointe Dr
Montgomery, AL 36117-8053
Phone (334) 954-6010

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
78.94
Promoting interoperability
100
Improvement activities
40
Cost
72.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28039ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Aug 1, 2025 Accepting new patients
University of Alabama at Birmingham Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Gardenia Cove Mental Health PC Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Montgomery Area Mental Health Authority Inc CurrentSince Feb 4, 2016 Accepting new patients
Montgomery Area Mental Health Authority Inc PastSince Feb 4, 2016 Accepting new patients

Locations

619 19th St S
#409
Birmingham, AL 35249
Phone (205) 602-5256

619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

7475 Halcyon Pointe Dr
Montgomery, AL 36117
Phone (334) 954-6010

101 Coliseum Blvd
Montgomery, AL 36109

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/carastar/r4/

Organizations & group practices 5

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1891900957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 LONG ACRE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166748",
            "telephone_number": "334-799-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 UPPER WETUMPKA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071342",
            "telephone_number": "334-451-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "JESSAKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "28039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.