Active NPI
James Q Jardine, MD
- Specialist
- Mobile, AL
National Provider Identifier
1962432385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00011901
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00011901 | AL | MD | Specialist |
| 11901 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Specialist
- Mobile, AL
- NPI 1518914159
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.