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JONATHAN FREDERICK MD
NPI 1346397239
Oral & Maxillofacial Surgery in Sheffield, AL

Active since January 04, 2007PECOS Enrolled
398 ASHE BLVD, SHEFFIELD, AL 35660(256) 383-1499 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonathan Frederick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN FREDERICK MD (NPI 1346397239) is an individual oral & maxillofacial surgery provider in Sheffield, Alabama, licensed in Alabama (AL28212) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2006).

NPPES Registry Identity

NPI1346397239
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJONATHAN FREDERICKCredential: MD
Location Address398 ASHE BLVDSheffield, AL 35660-1729
Mailing Address398 Ashe BlvdSheffield, AL 35660-1729 · (256) 383-1499
Phone(256) 383-1499
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2006
Enumeration DateJanuary 4, 2007
Last NPPES UpdateNovember 15, 2011
✔ NPI 1346397239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AL · AL28212
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License AL5271 (AL)
398 ASHE BLVD, Sheffield, AL 35660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Frederick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284764408
PECOS Enrollment IDI20100615000761
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral & Facial Surgery Of The Shoals, L.L.C.
Same address
Oral and Maxillofacial Surgery
398 ASHE BLVD
Sheffield, AL 35660
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1083662290 (256) 383-1499
Ofs-Shoals, LLC
5.7 mi
Oral and Maxillofacial Surgery
154 TITAN DR
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1609649177 (256) 712-5096

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORAL & FACIAL SURGERY OF THE SHOALS, L.L.C.
Dentist (Oral and Maxillofacial Surgery)
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 383-1499
MARY CAMPBELL BROOKER LICSW, PIP
Social Worker (Clinical)
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 627-1871
DR. CHRISTOPHER BAYLIS NESTER DMD, MD
Oral & Maxillofacial Surgery
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 383-1499
DR. RUSSELL MCNEIL FRASER DMD
Dentist (Oral and Maxillofacial Surgery)
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 383-1499
MARYELLEN MCILWAIN MAYFIELD LICSW
Social Worker (Clinical)
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 383-1499
COMPREHENSIVE FAMILY SERVICES, LLC
Social Worker (Clinical)
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 627-1871
DR. MARK RAY MCILWAIN DMD, MD
Oral & Maxillofacial Surgery
398 ASHE BLVD
SHEFFIELD, AL 35660
Colbert County (256) 383-1499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Frederick's NPI number?

The NPI number for Jonathan Frederick is 1346397239. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Jonathan Frederick located?

Jonathan Frederick practices at 398 Ashe Blvd, Sheffield, AL 35660. The listed phone number is (256) 383-1499.

What is Jonathan Frederick's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jonathan Frederick enrolled in Medicare?

Yes. Jonathan Frederick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Frederick reassigns Medicare benefits to 2 organizations: Oral & Facial Surgery Of The Shoals, L.L.C. (Sheffield, AL) and Ofs-Shoals, LLC (Florence, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Frederick accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Jonathan Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Frederick was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.