Organization Active NPI

Montgomery Rheumatology Associates, P.a.

  • Rheumatology Physician
  • Montgomery, AL
National Provider Identifier
1992872683
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
7797 Issued in AL
Legal business name
MONTGOMERY RHEUMATOLOGY ASSOCIATES, P.A.
Practice address
1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone
(334) 284-3105
Fax
(334) 284-3107
NPI assigned
Nov 29, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. James Thurman Jakes, M.D.NPI 1578547352
Title
President
Phone
(334) 284-3105

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)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 7797 AL Primary

Addresses

Primary practice location

1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654

Mailing address

1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone (334) 284-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000804 AL Part B Supplier - Clinic/Group Practice 2961425319 Receives reassigned benefits from 3 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/Ju4SLrJ8HE83ty66H2bgjEBnrvB-FIla/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1992872683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-284-3105",
            "fax_number": "334-284-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-284-3105",
            "fax_number": "334-284-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY RHEUMATOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JAKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-284-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.