NPIMap

Individual provider Active NPI

Jason Ayres, MD

  • Family Medicine Physician
  • Southside, AL
National Provider Identifier
1972566776
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24199 Issued in AL
Practice address
2425 Highway 77
Southside, AL 35907-7907
Phone
(256) 442-4141
NPI assigned
Apr 11, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24199 AL Primary

Addresses

Primary practice location

2425 Highway 77
Southside, AL 35907-7907

Mailing address

2425 Highway 77
Southside, AL 35907-7907
Phone (256) 442-4141

Other identifiers 1

IdentifierTypeStateIssuer
051516123MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.ayres.1@1831.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000144 AL Practitioner - Family Practice 9537293980 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

1642 -A Pehlam Rd S
Jacksonville, AL 36265-3312
Phone (256) 543-1222

303 Bay St
Gadsden, AL 35901-5203

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24199ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Gadsden Physician Management LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Gadsden Regional Physician Group Practice LLC Family Medicine CurrentSince Jul 31, 2018 Accepting new patients
Allergy Associates, Inc Past Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903
Phone (256) 413-6240

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

2425 Highway 77
Southside, AL 35907
Phone (256) 413-7799

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • Direct secure messaging: jason.ayres.1@1831.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit Hospice Rainbow CityRainbow City, AL, CCN 011670 Hospice W-2 Managing Employee Dec 11, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1972566776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359077907",
            "telephone_number": "256-442-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359077907",
            "telephone_number": "256-442-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051516123",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.ayres.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2425 Highway 77",
            "city": "Southside",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359077907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southside, AL

Sources for this page

Verify at the official NPI Registry.