Individual provider Active NPI

Jacquelynn Nichole Kinard, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1962845347
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50838 Issued in AL
Practice address
1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Phone
(205) 679-6325
Fax
(205) 783-8600
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52530 TN
Family Medicine Physician 207Q00000X 50838 AL Primary

Addresses

Primary practice location

1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 1

2574 Frayser Blvd
Memphis, TN 38127-5829
Phone (901) 271-9500

Other names 1

  • Miss Jacquelynn Nichole Griffin 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
I20250401003023 AL Practitioner - Family Practice 5597904912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Phone (205) 926-2992

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50838ALMDFamily Medicine Physician
52530TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Mar 3, 2025 Accepting new patients
Cahaba Medical Care Foundation Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Mar 3, 2025 Accepting new patients
Cherokee Health Systems Family Medicine Current Accepting new patients

Locations

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: nichole.kinard.1@11347.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1962845347",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111948",
            "telephone_number": "205-679-6325",
            "fax_number": "205-783-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2574 Frayser Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381275829",
            "country_code": "US",
            "telephone_number": "901-271-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINARD",
        "first_name": "JACQUELYNN",
        "middle_name": "NICHOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "50838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYNN",
            "last_name": "GRIFFIN",
            "middle_name": "NICHOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.