DR. JACK AVERETT (NPI# 1083688055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688055 |
| Entity Type | Individual |
| Full Name | DR. JACK AVERETT |
| Credential | M.D. |
| Practice Address |
833 Saint Vincents Dr Pob IIi Suite 300 Birmingham AL 35205-1606 |
| Practice Telephone | 2059181471 |
| Practice Fax Number | 2059181470 |
| Mailing Telephone | 2059181471 |
| Mailing Fax Number | 2059181470 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00006564 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
833 SAINT VINCENTS DR POB III SUITE 300 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433494 | Timothy Andrew Mcgraw | Dermatology | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2005-08-10 |
| 1598381386 | Madison Nikole Hatchett | Audiologist | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2020-06-17 |
| 1992263297 | Erika V Jobes | Nurse Practitioner | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2019-03-05 |
| 1295227007 | Raven Samone Holmes | Dietitian, Registered | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2018-06-06 |
| 1457897654 | Helen King | Physician Assistant | 833 Saint Vincents Dr, Building 3, Suite 402, Birmingham, AL 35205-1606 | 2017-01-11 |
| 1033566062 | Lakisha Dionne Moore Smith | Internal Medicine | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2016-05-19 |
| 1790131951 | Stephen Mitchell Stuart | Internal Medicine | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2016-05-06 |
| 1255754032 | Jack Trigg Jr. | Family Medicine | 833 Saint Vincents Dr, 2, Birmingham, AL 35205-1606 | 2014-01-29 |
| 1740603711 | Alabama Renal Care, P.C. | Clinic/Center | 833 Saint Vincents Dr, Suite 201, Birmingham, AL 35205-1606 | 2014-01-28 |
| 1992136212 | Christine Gronvall | Audiologist-Hearing Aid Fitter | 833 Saint Vincents Dr, Pob 3 Suite 402, Birmingham, AL 35205-1606 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1588913867 | Muhammad Ali Khan | Internal Medicine | 1720 2nd Ave S # Bdb380, Birmingham, AL 35294 | 2012-09-03 |
| 1851646889 | Lewis Wayne Pressgrove Sr. | Internal Medicine | 2547 Ashford Pl, Birmingham, AL 35243-2244 | 2012-07-16 |
| 1871765552 | Shajan Peter | Internal Medicine | Bdb 363 1720 2nd Ave S, Birmingham, AL 35294 | 2008-04-02 |
| 1629154117 | Allison Duke Bridges | Internal Medicine | 703 19th St S, Zrb 633, Birmingham, AL 35294-0001 | 2006-10-27 |
| 1457433088 | Owen Russell Mclean | Internal Medicine | 1 Independence Plaza Suite 900, Birmingham, AL 35209-2643 | 2006-10-20 |
| 1598772865 | George Ralph Mcwhorter | Internal Medicine | 401 Tuscaloosa Ave Sw, Suite 220, Birmingham, AL 35211-1416 | 2006-08-01 |
| 1578516076 | Ralph Thomas Lyerly Jr. | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234-1955 | 2006-05-18 |
| 1366406514 | Birmingham Gastroenterology Associates PC | Internal Medicine | 1 Independence Plaza, Suite 900, Birmingham, AL 35209 | 2006-04-14 |
| 1780660142 | Kenneth M Sigman | Internal Medicine | 3570 Grandview Pkwy Ste 100, Birmingham, AL 35243-2065 | 2005-12-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.