Individual provider Active NPI

Jessica Marie Griffith, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
National Provider Identifier
1922364215
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
33057 Issued in AL
Practice address
5 Mobile Infirmary Circle
Mobile, AL 36607-3513
Phone
(251) 460-0326
Fax
(251) 460-2846
NPI assigned
Apr 11, 2012
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 33057 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Circle
Mobile, AL 36607-3513

Mailing address

PO Box 91498
Mobile, AL 36691-1498
Phone (251) 460-0326

Other identifiers 1

IdentifierTypeStateIssuer
282871MedicaidAL

Other names 1

  • Jessica Marie Tracht Former name

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
I20180531000465 AL Practitioner - Pathology 6709022437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Toledo College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Regional Pathologists PAGroup PAC ID 9830115385, 8 clinicians

Practice addresses (Care Compare)

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 10, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2018 Accepting new patients
Mobile Infirmary Association Current Accepting new patients
Gulf Regional Pathologists PA CurrentSince May 1, 2022 Accepting new patients
Mobile Infirmary Association Current Accepting new patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 10, 2019 Accepting new patients

Locations

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1922364215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91498",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911498",
            "telephone_number": "251-460-0326",
            "fax_number": "251-460-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIRCLE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-460-0326",
            "fax_number": "251-460-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "33057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282871",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TRACHT",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.