Individual provider Active NPI

Jonathan Rudolph Harbin, PA-C

  • Physician Assistant
  • Jasper, AL
National Provider Identifier
1982149951
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1225 Issued in AL
Practice address
2950 Highway 78 E
Jasper, AL 35501-8903
Phone
(205) 221-5374
Fax
(205) 385-0382
NPI assigned
Dec 30, 2016
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1225 AL Primary

Addresses

Primary practice location

2950 Highway 78 E
Jasper, AL 35501-8903

Mailing address

2950 Highway 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

Other practice location 1

87 19th St W Ste 300
Jasper, AL 35501-5430
Phone (205) 221-5374

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328000778 AL Practitioner - Physician Assistant 2466553102 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians
After Hours Clinic IncGroup PAC ID 4880635945, 8 clinicians
After Hours Clinic Inc SumitonGroup PAC ID 3375624182, 6 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

1800 Birmingham Ave
Jasper, AL 35501-5461
Phone (205) 384-4585

292 Bryan Rd
Sumiton, AL 35148-3445
Phone (205) 648-0240

2950 Hwy 78 E
Jasper, AL 35501-8903
Phone (205) 221-5374

3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000

385 Bryan Rd
Suite 140
Sumiton, AL 35148-3438
Phone (205) 648-0240

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

87 19TH St W
Suite 300
Jasper, AL 35501-5430
Phone (205) 221-3606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
80.27
Promoting interoperability
100
Improvement activities
40
Cost
71.24

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1225ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Aug 1, 2023 Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 1, 2021 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 1, 2021 Accepting new patients
Medcenter Fayette, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Tuscaloosa Medcenter South, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Medcenter Primary Care, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2950 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5374

87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

Interoperability endpoints

  • Direct secure messaging: jonathan.harbin.1@15818.direct.athenahealth.com
  • Direct secure messaging: jonathan.harbin.1@31652.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1982149951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 19th St W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015430",
            "country_code": "US",
            "telephone_number": "205-221-5374",
            "fax_number": "205-385-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "JONATHAN",
        "middle_name": "RUDOLPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.