Individual provider Active NPI

James Q Jardine, MD

  • Specialist
  • Mobile, AL
National Provider Identifier
1962432385
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00011901 Issued in AL
Practice address
3715 Dauphin St
Ste. 3-B
Mobile, AL 36608-1771
Phone
(251) 344-5900
Fax
(251) 344-5172
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00011901 AL Primary

Addresses

Primary practice location

3715 Dauphin St
Ste. 3-B
Mobile, AL 36608-1771

Mailing address

3715 Dauphin St
Ste. 3-B
Mobile, AL 36608-1771
Phone (251) 344-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00011901ALMDSpecialist
11901ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Physicians for Women PC Specialist Current Accepting new patients

Locations

3715 Dauphin St
Ste 3B
Mobile, AL 36608
Phone (251) 301-1801

Interoperability endpoints

  • Direct secure messaging: james.jardine.1@15695.direct.athenahealth.com

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1962432385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "STE. 3-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-344-5900",
            "fax_number": "251-344-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "STE. 3-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-344-5900",
            "fax_number": "251-344-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "JAMES",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00011901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.