Active NPI
John Bryan Waits, M.D.
- Family Medicine Physician
- Centreville, AL
On this page
- Key facts
- Organizations & group practices11
- Hospital & facility affiliations6
- Owned or controlled facilities with NPI records1
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures26
- National Provider Directory
- NPPES NPI Registry
- Other providers in Centreville, AL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25230
- Practice address
- 405 Belcher St
Centreville, AL 35042-2946 - Phone
- (205) 926-2992
- Fax
- (205) 316-7675
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
AL
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1881153401
-
- Primary Care Clinic/Center
- Centreville, AL
- NPI 1225117047
-
- Pharmacy
- Centreville, AL
- NPI 1568558146
-
- General Acute Care Hospital
- Centreville, AL
- NPI 1255376828
-
- Emergency Medicine Physician
- Opp, AL
- NPI 1356391353
-
- Skilled Nursing Facility
- Centreville, AL
- NPI 1407885734
-
- General Acute Care Hospital
- Nowata, OK
- NPI 1548247489
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Centreville, AL
- NPI 1255376828
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Centreville, AL
- NPI 1306062229
Nursing home
-
- Skilled Nursing Facility
- Centreville, AL
- NPI 1407885734
Nursing home
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
Corporate Director, Corporate Officer, W-2 Managing Employee
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cahaba Medical Care Foundation
Practice addresses (Care Compare)
195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992
Hospital & facility affiliations
- Bibb Medical Center
- DCH Regional Medical Center
- Bibb Medical Center Nursing Home
- Bibb Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040727000696 | AL | Practitioner - Family Practice | 3375513500 | Reassigns benefits to 3 organizations |
All facility ownership & control disclosures 26
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jul 1, 2012 Jul 1, 2012 |
| Woodstock Family Medicine | Federally qualified health center | Corporate Officer | Oct 5, 2010 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jan 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation-Wbes | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Director W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
| Cahaba Medical Care Foundation | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2023 |
| Cahaba Medical Care - Fairfield High Preparatory School | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Oct 1, 2012 Oct 1, 2012 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25230 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| The Bibb County Healthcare Authority | Current | Accepting new patients | |
| The Bibb County Health Care Authority | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| The Bibb County Healthcare Authority | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| The Bibb County Healthcare Authority | Past | Accepting new patients | |
| Cahaba Medical Care, PC | Past | Accepting new patients | |
| Jane Phillips Nowata Hospital Inc | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients |
Locations
1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326
975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358
801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300
1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325
200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944
1240 Cotton Ave SW
Birmingham, AL 35211
160 4th St
Brent, AL 35034
Phone (205) 928-6045
1984 Main St
Brent, AL 35034
Phone (205) 928-3492
321 Whiskey Run Rd
Camden, AL 36726
Phone (334) 682-4128
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230
405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694
1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164
301 61st St
Fairfield, AL 35064
1301 Highland Dr
Fairfield, AL 35064
7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048
715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048
4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353
828 Cahaba River Dr
West Blocton, AL 35184
319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365
28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Interoperability endpoints
- john.waits.3@13200.direct.athenahealth.com
- jbwaits@bibb.direct.csshealthtech.com
- john.waits.1@11347.direct.athenahealth.com
- john.waits.2@13200.direct.athenahealth.com
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25230 | AL | Primary |
Addresses
Primary practice location
405 Belcher St
Centreville, AL 35042-2946
Mailing address
405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515-20913 | Other | AL | BLUE CROSS |
| 009957265 | Medicaid | AL |
NPI Registry JSON
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1962422337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BELCHER ST",
"city": "CENTREVILLE",
"state": "AL",
"postal_code": "350422946",
"telephone_number": "205-926-2992",
"fax_number": "205-316-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BELCHER ST",
"city": "CENTREVILLE",
"state": "AL",
"postal_code": "350422946",
"telephone_number": "205-926-2992",
"fax_number": "205-316-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITS",
"first_name": "JOHN",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "25230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0515-20913",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009957265",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.