Individual provider Active NPI

Jeffery W Herald, CRNP

  • Acute Care Nurse Practitioner
  • Sylacauga, AL
National Provider Identifier
1932108826
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-059276 Issued in AL
Practice address
209 W Spring St Ste 304
Sylacauga, AL 35150-2976
Phone
(205) 971-7500
Fax
(205) 971-7571
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-059276 AL Primary

Addresses

Primary practice location

209 W Spring St Ste 304
Sylacauga, AL 35150-2976

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Other practice location 1

2022 Brookwood Medical Ctr Dr
ACC - Suite 415
Birmingham, AL 35209-6808
Phone (205) 250-6964

Other identifiers 2

IdentifierTypeStateIssuer
51592536OtherALBLUE CROSS & BLUE SHIELD
051534295MedicaidAL

Other names 1

  • Jeffery W Herald Professional 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000907 AL Practitioner - Nurse Practitioner 2567411986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

209 W Spring St
Suite 304
Sylacauga, AL 35150-2976
Phone (205) 971-7500

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (205) 971-7500

3680 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3326

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 971-0139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-059276ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Aug 15, 2016 Accepting new patients
Affinity Physician Services LLC PastSince Dec 1, 2023 Accepting new patients
Carraway Emergency Physicians, LLC Past Accepting new patients

Locations

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

2700 10th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 418-1200

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

209 W Spring St
Ste 304
Sylacauga, AL 35150
Phone (205) 380-9761

Interoperability endpoints

  • Direct secure messaging: jeffery.herald.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1932108826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 304",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 Brookwood Medical Ctr Dr",
            "address_2": "ACC - Suite 415",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096808",
            "country_code": "US",
            "telephone_number": "205-250-6964",
            "fax_number": "205-250-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERALD",
        "first_name": "JEFFERY",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-059276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51592536",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051534295",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFERY",
            "last_name": "HERALD",
            "middle_name": "W",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.