JIMMIE COUNCIL BLAN PA NPI 1093048332

NPI Information

  • NPI: 1093048332
  • Provider Name: JIMMIE COUNCIL BLAN, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 MEMORIAL HOSPITAL DR
    SUITE 3A
    MOBILE, AL
    ZIP 36608
  • Phone: (251) 342-2641

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NPI Details

Jimmie Council Blan, PA is a medical physician assistant in Mobile, AL with 16 years of experience. Jimmie Council Blan, PA NPI is 1093048332. 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:

100 MEMORIAL HOSPITAL DR
SUITE 3A
MOBILE, AL
ZIP 36608-183
Phone: (251) 342-2641
Fax: (251) 343-9507

The NPI 1093048332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 9/17/2009 and was last updated on 7/27/2010.

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
1363AM0700XPhysician AssistantMedicalPA1692ALABAMAYes

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
11093048332MEDICAIDALABAMA
205110015OTHERALABAMABLUE CROSS/BLUE SHIELD
31093048332MEDICARE PINALABAMA

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: 3/30/2025

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