JAMILLIA RENEA SHORT
NPI 1912789843
Nurse Practitioner - Family in Tuscaloosa, AL
About Jamillia Renea Short NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMILLIA RENEA SHORT (NPI 1912789843) is an individual family provider in Tuscaloosa, Alabama, licensed in Alabama (1-172032) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jamillia Renea Short is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jamillia Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tuscaloosa, AL 35406
- Reassigned Medicare billing, Alabama enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUSCALOOSA, AL 35401
TUSCALOOSA, AL 35401
TUSCALOOSA, AL 35401
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 Jamillia Short's NPI number?
The NPI number for Jamillia Short is 1912789843. It was assigned to this individual provider in the NPPES registry on October 16, 2023.
Where is Jamillia Short located?
Jamillia Short practices at 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401. The listed phone number is (205) 758-6647.
What is Jamillia Short's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jamillia Short enrolled in Medicare?
Yes. Jamillia Short is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jamillia Short's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamillia Short reassigns Medicare benefits to Southern Np Associates, LLC (Tuscaloosa, AL). The 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 Jamillia Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jamillia Short was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jamillia Renea Short · NPI 1912789843
Family physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since October 16, 2023.
## Identity
- **NPI:** 1912789843 (Entity type: Individual)
- **Enumerated:** October 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-172032 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2731 MARTIN LUTHER KING BLVD, Tuscaloosa, AL 35401-5235
- **Phone:** (205) 758-6647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Np Associates, LLC (NPI 1407257447, Tuscaloosa, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912789843) · Data from the CMS NPPES public registry.