Jerlyn McCleod, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25317 Issued in AL

Practice address

101 Medical Dr
Dothan, AL 36303-6903

Phone

(334) 702-7222

Fax

(334) 702-1944

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jerlyn McCleod Professional name

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

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dothan Behavioral Medicine Clinic PCGroup PAC ID 6305833724, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dothan Behavioral Medicine Clinic PC

  • Child & Adolescent Psychiatry Physician
  • Dothan, AL
  • NPI 1336277540
  Medicare reassignment Care Compare group
• Dothan Psychiatry & Sleep Disorders Medicine, PC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1518947019
  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1972659407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEOD",
        "first_name": "JERLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "25317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127946",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553959",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERLYN",
            "last_name": "MCCLEOD",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles Scot McArthur, O.D.
• Yolanda Tawanda Marie McBride, AGPCNP-C
• Tammy Alecia McCarter, MS
• Mary Eliza McCauley, OD
• Carol McClendon
• McClimans Orthodontics, Inc
• Leslie A. McClimans, DMD
• Chloe Clark McCommon, MCD
• James Richard McCommon, M.S., LPC, ALC
• Ashley McConkey

• Child & Adolescent Psychiatry Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Child & Adolescent Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.

Verify at the official NPI Registry.