Active NPI
Comprehensive Pediatrics and Internal Medicine, LLC
- Internal Medicine Physician
- Hoover, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COMPREHENSIVE PEDIATRICS AND INTERNAL MEDICINE, LLC
- Practice address
- 430 Emery Dr Ste 200
Hoover, AL 35244-4595 - Phone
- (205) 855-0357
- NPI assigned
- Feb 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquisha Moore Jarmon, MD
- Title
- Owner/MD
- Phone
- (901) 288-3280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
430 Emery Dr Ste 200
Hoover, AL 35244-4595
Mailing address
430 Emery Dr Ste 200
Hoover, AL 35244-4595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200422001824 | AL | Part B Supplier - Clinic/Group Practice | 7911337597 |
Receives reassigned benefits from 2 practitioners Practice locations: Hoover, AL |
| O20210326001984 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911337597 | Practice locations: Hoover, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2181472 | Comprehensive Pediatrics and Internal Medicine, LL | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
430 Emery Dr
Ste 200
Hoover, AL 35244
Phone (205) 855-0357
430 Emery Dr
Ste 300
Hoover, AL 35244
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hoover, AL
- NPI 1013085679
AL, Internal Medicine
-
- Family Nurse Practitioner
- Northport, AL
- NPI 1164855136
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1689554883
-
- Family Nurse Practitioner
- Bessemer, AL
- NPI 1184352296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582675200000",
"number": "1992339246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 EMERY DR STE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 EMERY DR STE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444595",
"telephone_number": "205-855-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PEDIATRICS AND INTERNAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A",
"authorized_official_last_name": "MOORE JARMON",
"authorized_official_first_name": "MARQUISHA",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "901-288-3280",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.