Phillip A Jernigan, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08024 Issued in NC

Practice address

513 Brookwood Blvd
Suite 400
Birmingham, AL 35209-6862

Phone

(205) 877-9191

Fax

(205) 877-8377

NPI assigned

Feb 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL, NC, GA, TN, SC, KY, LA7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 7

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL, LA, NC

  Medicare reassignment Care Compare group
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723

  Single Specialty

  Medicare reassignment NPD
• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment
• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605
  Medicare reassignment
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• Trinity Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1487669016
  Medicare reassignment
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment
• CDT Healthcare

  • Urgent Care Clinic/Center
  • Siler City, NC
  • NPI 1700397304
  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  GA, NC

  Medicare reassignment
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  GA, NC

  Medicare reassignment

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

• BBH BMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972809309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-877-9191",
            "fax_number": "205-877-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "TA-1724",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjernigan@rema-em.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl Ste 417",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Allen Jensen, MD
• Jin Woo Jeong
• Katherine Schroeder Jerew, MD
• Angella K Jernigan, LPC
• Lindsay Bridgford Jernigan, CRNP
• Jerry L. Kitchens, Jr., MD, PC
• Jerry W. Reasner, DMD
• Jerry'S Pharmacy
• Natalie Jessen
• Jessica Palmer, O.D., LLC

• Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.