Active NPI
Jeffrey Todd Norris, PA
- Physician Assistant
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA326
- Practice address
- 4300 W Main St Ste 405
Dothan, AL 36305-1086 - Phone
- (334) 944-7073
- Fax
- (334) 793-5346
- NPI assigned
- Jun 20, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA326 | AL | Primary |
Addresses
Primary practice location
4300 W Main St Ste 405
Dothan, AL 36305-1086
Mailing address
PO Box 6599
Dothan, AL 36302-6599
Phone (334) 944-7073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051552529 | Medicaid | AL | |
| 51512732 | Other | AL | BXBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffrey.norris.1@3326.direct.athenahealth.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Dothan, AL 36305-1058
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Resource Management of Wiregrass, LLC | Current | Accepting new patients | |
| Meghani Medical, PC | Current | Accepting new patients | |
| Professional Resource Management of Wiregrass, LLC | Current | Accepting new patients | |
| Neuro Spine P C | Past | Accepting new patients | |
| Neurological Associates of Dothan | Past | Accepting new patients |
Locations
1865 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 712-1170
1865 Honeysuckle Rd
Ste 3
Dothan, AL 36305
Phone (334) 673-0494
1841 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 712-1170
2812 Hartford Hwy
#1
Dothan, AL 36305
Phone (334) 699-8622
1970 Andrews Ave
Ozark, AL 36360
Phone (334) 712-1170
218 Hospital Ave
#F
Ozark, AL 36360
Phone (334) 774-1555
Interoperability endpoints
- jeffrey.norris.1@3326.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
- Psychiatry Physician
- Ozark, AL
- NPI 1740358837
-
- Psychiatry Physician
- Dothan, AL
- NPI 1942235460
-
- Psychiatry Physician
- Dothan, AL
- NPI 1033495221
-
- Neurology Physician
- Dothan, AL
- NPI 1801163506
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1306898382
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1972798544
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1902801517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6599",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363026599",
"telephone_number": "334-944-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 405",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051086",
"telephone_number": "334-944-7073",
"fax_number": "334-793-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JEFFREY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051552529",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "51512732",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffrey.norris.1@3326.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena EMR",
"address_1": "4300 W Main St Ste 405",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "363051086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.