Active NPI
Jacquelynn Nichole Kinard, M.D.
- Family Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50838 | AL | MD | Family Medicine Physician |
| 52530 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | 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
- nichole.kinard.1@11347.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
-
- Multi-Specialty Clinic/Center
- Centreville, AL
- NPI 1093058133
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
- 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.