DR. JERRY J. ELLER M.D. NPI 1184606501
Pediatrics in Livingston, AL
About JERRY ELLER
Jerry Eller is a pediatrician established in Livingston, Alabama and his medical specialization is pediatrics. The NPI number of Jerry Eller is 1184606501 and was assigned on November 2005. The practitioner's primary taxonomy code is 208000000X with license number 00008273 (AL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
A pediatrician like Dr. Jerry J. Eller M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Jerry Eller is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1184606501 |
| Provider Name | DR. JERRY J. ELLER M.D. |
| Provider Location Address | 1221 N WASHINGTON ST LIVINGSTON, AL 35470 |
| Provider Mailing Address | PO BOX 5166 MERIDIAN, MS 39302 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | N/A |
| Enumeration Date | 11-20-2005 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 00008273 |
| License State | AL |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Business Address
DR. JERRY J. ELLER M.D.
1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470
Phone: (205) 652-9575
Fax: (205) 652-7979
Mailing Address
DR. JERRY J. ELLER M.D.
PO BOX 5166
MERIDIAN, MS
ZIP 39302
Phone: (601) 703-9506
Fax: (601) 703-3264
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2080P0208X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Infectious Diseases | 00008273 | AL | N/A |
Taxonomy Description: a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 51020984 | OTHER (01) | |
| C76652 | MEDICARE UPIN (02) |
Other Providers at the same location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154302743 | LABORATORY CORPORATION OF AMERICA HOLDINGS Organization | Clinical Medical Laboratory | 1221 N WASHINGTON ST LIVINGSTON, AL 35470 (205) 652-7680 |
| 1982040317 | KEMPER, CAH, INC Organization | Clinic/Center (Rural Health) | 1221 N WASHINGTON ST LIVINGSTON, AL 35470 (205) 652-9575 |
| 1831159474 | RUSH CARE, INC. Organization | Clinic/Center (Rural Health) | 1221 N WASHINGTON ST LIVINGSTON, AL 35470 (205) 652-9575 |
| 1538489562 | TODD BAGWELL VAUGHAN M.D. Individual | Family Medicine | 1221 N WASHINGTON ST LIVINGSTON, AL 35470 (205) 652-9575 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.