DR. JACK AVERETT M.D. NPI 1083688055

NPI Information

  • NPI: 1083688055
  • Provider Name: DR. JACK AVERETT, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 833 SAINT VINCENTS DR
    POB III SUITE 300
    BIRMINGHAM, AL
    ZIP 35205
  • Phone: (205) 918-1471

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NPI Details

DR. Jack Averett, M.D. is a gastroenterology internal medicine in Birmingham, AL. The provider is 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. DR. Jack Averett, M.D. NPI is 1083688055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

833 SAINT VINCENTS DR
POB III SUITE 300
BIRMINGHAM, AL
ZIP 35205-606
Phone: (205) 918-1471
Fax: (205) 918-1470

The enumeration date for this NPI number is 2/15/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMD00006564ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D39320MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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