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DR. JAMES A SEXSON M.D.
NPI 1366502155
Hospitalist in Mobile, AL

Active since December 11, 2006PECOS Enrolled
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617(251) 471-7891(251) 470-1652 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James A Sexson M.d. NPPES

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

DR. JAMES A SEXSON M.D. (NPI 1366502155) is an individual hospitalist provider in Mobile, Alabama, licensed in Alabama (14750) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Coffee Regional Medical Center, Inc, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1366502155
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JAMES A SEXSONCredential: M.D.
Location Address2451 UNIVERSITY HOSPITAL DRMobile, AL 36617-2300
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430
Phone(251) 471-7891
Fax(251) 470-1652
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1366502155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AL · 14750
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 038362 (GA)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 038362 (GA)
2451 UNIVERSITY HOSPITAL DR, Mobile, AL 36617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A Sexson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618071432
PECOS Enrollment IDI20070403000394, I20250402002167
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
853 services290 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
307 services264 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
278 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110124
Location865 South First StreetJesup, GA 31545 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$60.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$20.16 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$104.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MACKENZIE KREBSBACH ROBERTS CRNP
Nurse Practitioner (Acute Care)
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 471-7565
FREDERICK JOSEPH ROSSI III
Hospitalist
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 471-7891
WESLEY KYLE DEES CRNP
Nurse Practitioner (Family)
2451 UNIVERSITY HOSPITAL DR, MSTN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
DR. LEIGH FOUNTAIN DO
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 415-1496
ELEANOR GRACE HANCERI
Nurse Practitioner (Acute Care)
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 471-7000
KRISTY GENTRY
Registered Nurse
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 751-0584
JOHN GARRETT JONES DO
Student in an Organized Health Care Education/Training Program
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 471-7000
LINDA TRAN PHARMD
Pharmacist
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617
Mobile County (251) 471-7068

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 James Sexson's NPI number?

The NPI number for James Sexson is 1366502155. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is James Sexson located?

James Sexson practices at 2451 University Hospital Dr, Mobile, AL 36617. The listed phone number is (251) 471-7891.

What is James Sexson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Sexson enrolled in Medicare?

Yes. James Sexson is registered in the Medicare PECOS enrollment system.

What insurance does James Sexson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list James Sexson 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.

Is James Sexson affiliated with any hospitals?

According to CMS data, James Sexson is affiliated with Coffee Regional Medical Center, Inc and Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Sexson was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.