Jordan Hammock
Individual provider Active NPI Family Nurse Practitioner · Fultondale, AL
NPI 1972915437 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1972915437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-123755 (AL)
- Practice address
- 339 Walker Chapel PLZ
Fultondale, AL 35068-3401 - Phone
- (205) 841-2844
- NPI assigned
- Jun 2, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family First Urgent Care Alabama LLC
Practice addresses (Care Compare)
9288 Stouts Rd
Kimberly, AL 35091-2005
Phone (205) 795-0010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140822001550 | AL | Practitioner - Nurse Practitioner | 9436377025 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-123755 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Family | Current |
Accepting new patients |
| Family First Primary Care Alabama LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Family First Urgent Care Alabama LLC | Current |
Accepting new patients | |
| Fultondale Urgent Care Centers, LLC | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
339 Walker Chapel Plz
Fultondale, AL 35068
Phone (205) 380-7878
9288 Stouts Rd
Kimberly, AL 35091
Phone (205) 787-0881
4360 Main St
Pinson, AL 35126
Phone (205) 680-4836
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-123755 | AL | Yes |
Addresses
Primary practice location
339 Walker Chapel PLZ
Fultondale, AL 35068-3401
Mailing address
79 Megan Rd
Hayden, AL 35079-9200
Phone (205) 902-7872
Other providers in Fultondale, AL
- Gardendale Family Dentistry LLC
- Lauren Gates
- Juan Gordillo
- Kelli Folgman Grinder
- Carson Lee Hagood
- Jessica Hardin
- Lisa Woods Harris
- Hesham Aldean Hassan
- Robert Lewis Head II
- Hematology & Oncology Associates of Alabama LLC
All providers in Fultondale, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.