Active NPI 1720086861 Individual Practitioner Male Practitioner

Dr. Mark Alan Prevost , MD

Orthopaedic Surgery • Jasper, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Prevost, MD is a certified Orthopaedic Surgery practicing in Jasper, AL. With approximately 31 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1995, Dr. Prevost delivers high-quality medical care to the local community at 2950 HIGHWAY 78 E.

Dr. Prevost maintains professional affiliations with Southern Orthopaedic Alliance Pllc, Baptist Health Centers Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, mri scan of lower spinal canal. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2950 Highway 78 E

Jasper, AL 355018903

Telephone 2052215374

Fax 2053850382

Associated Practice Facility / Clinic

🏢 Southern Orthopedic & Sports Medicine Assoc P C Facility NPI 1184647323

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jasper, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +7.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Jasper, AL (368 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prevost (31 Years) 31 Yrs

Jasper Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	128	$227.23	$113.13
72110 X-ray of lower and sacral spine, minimum of 4 views	153	125	$217.33	$44.82
72148 MRI scan of lower spinal canal	93	86	$1261.31	$159.73
72050 X-ray of upper spine, 4 or 5 views	62	51	$199.77	$46.26
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$174.45	$80.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$305.44	$149.58
72100 X-ray of lower and sacral spine, 2-3 views	43	34	$157.12	$34.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	40	24	$1203.20	$216.72
72141 MRI scan of upper spinal canal	30	30	$1315.07	$138.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$122.00	$50.29
72070 X-ray of middle spine, 2 views	27	22	$144.00	$28.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$309.00	$154.32
72146 Mri scan of middle spinal canal	18	16	$1219.44	$132.69
72040 X-ray of upper spine, 2-3 views	16	12	$130.13	$34.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	14	14	$41.00	$15.10
61783 Computer-assisted spinal procedure	12	12	$1080.75	$199.25
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$6606.83	$641.43
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	11	11	$1230.82	$216.26
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$9196.36	$1457.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$382.00	$158.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	133	122	$136.00	$46.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	92	$298.00	$117.03
99213 Established patient office or other outpatient visit, typically 15 minutes	92	80	$202.00	$83.76
72148 MRI scan of lower spinal canal	78	72	$849.27	$112.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	63	$122.00	$52.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	56	28	$782.00	$221.51
72100 X-ray of lower and sacral spine, 2-3 views	56	40	$98.00	$36.59
72050 X-ray of upper spine, 4 or 5 views	43	40	$131.00	$48.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$456.00	$147.91
72141 MRI scan of upper spinal canal	27	26	$819.67	$78.82
72040 X-ray of upper spine, 2-3 views	21	14	$96.00	$36.30
20939 Harvest of bone marrow for spine surgery graft	18	15	$191.00	$65.64
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$4990.00	$1409.96
61783 Computer-assisted spinal procedure	11	11	$711.00	$215.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	171	$282.37	$121.16
72110 X-ray of lower and sacral spine, minimum of 4 views	181	179	$128.40	$48.13
72100 X-ray of lower and sacral spine, 2-3 views	132	84	$92.18	$37.49
72148 MRI scan of lower spinal canal	118	116	$795.22	$120.24
99213 Established patient office or other outpatient visit, typically 15 minutes	115	105	$189.62	$85.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	76	$115.60	$53.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$426.93	$161.25
72050 X-ray of upper spine, 4 or 5 views	83	82	$123.31	$50.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	11	$18.93	$6.64
72141 MRI scan of upper spinal canal	45	44	$783.20	$94.96
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	23	$744.80	$252.06
72070 X-ray of middle spine, 2 views	27	24	$89.37	$30.97
20939 Harvest of bone marrow for spine surgery graft	26	26	$180.54	$68.03
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$5055.89	$1806.55
72040 X-ray of upper spine, 2-3 views	16	11	$86.81	$34.02
20553 Injection of trigger points, 3 or more muscles	15	11	$170.00	$59.19
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$2045.07	$747.48
22310 Closed treatment of broken spine bones with casting or bracing	13	13	$810.62	$298.79
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2078.18	$741.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	247	$267.16	$119.28
72110 X-ray of lower and sacral spine, minimum of 4 views	203	184	$117.24	$42.76
72100 X-ray of lower and sacral spine, 2-3 views	192	107	$82.81	$32.86
72148 MRI scan of lower spinal canal	129	116	$729.05	$123.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$392.69	$159.94
72050 X-ray of upper spine, 4 or 5 views	88	79	$111.36	$43.59
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$183.51	$84.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	30	$824.26	$253.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	45	$74.00	$52.33
72141 MRI scan of upper spinal canal	45	42	$733.53	$101.04
20939 Harvest of bone marrow for spine surgery graft	39	37	$159.62	$68.41
72040 X-ray of upper spine, 2-3 views	32	21	$86.56	$35.38
22633 Fusion of spine in lower back with partial removal of spine bone and disc	30	30	$5009.80	$1809.40
72070 X-ray of middle spine, 2 views	28	25	$78.00	$27.00
22310 Closed treatment of broken spine bones with casting or bracing	19	19	$784.21	$296.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$2521.47	$747.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$517.00	$193.26
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$2136.67	$744.33
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$4559.06	$1662.88
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	16	15	$1299.50	$486.07
22830 Exploration of spinal fusion	15	14	$2124.00	$399.25
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$1912.53	$713.86
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	13	11	$1088.62	$388.30
72146 Mri scan of middle spinal canal	13	12	$727.62	$78.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	403	206	$74.84	$22.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	390	266	$65.00	$42.20
72148 MRI scan of lower spinal canal	325	167	$513.82	$100.03
72100 X-ray of lower and sacral spine, 2-3 views	283	97	$57.70	$17.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	226	$125.00	$100.29
72050 X-ray of upper spine, 4 or 5 views	158	75	$73.42	$23.62
72141 MRI scan of upper spinal canal	102	51	$509.80	$87.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$175.00	$151.12
72040 X-ray of upper spine, 2-3 views	81	30	$68.15	$17.95
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	28	$1700.00	$246.78
72170 X-ray of pelvis, 1-2 views	44	23	$42.61	$12.87
72070 X-ray of middle spine, 2 views	37	19	$46.22	$14.33
72084 X-ray of entire middle and lower spine, minimum of 6 views	30	17	$68.00	$42.96
20552 Injections of trigger points in 1 or 2 muscles	29	23	$90.00	$50.11
J1040 Injection, methylprednisolone acetate, 80 mg	28	22	$20.00	$10.75
72146 Mri scan of middle spinal canal	27	14	$518.52	$75.93
20939 Harvest of bone marrow for spine surgery graft	25	25	$75.00	$65.55
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$5800.00	$1720.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$5260.00	$743.15
22830 Exploration of spinal fusion	14	14	$2450.00	$365.66
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$4460.00	$687.92
22310 Closed treatment of broken spine bones with casting or bracing	13	13	$500.00	$278.97
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	11	$1780.00	$704.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	608	304	$73.69	$23.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	588	385	$65.00	$41.08
72148 MRI scan of lower spinal canal	472	231	$511.64	$96.55
72100 X-ray of lower and sacral spine, 2-3 views	420	137	$56.00	$16.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	304	$125.00	$98.40
72050 X-ray of upper spine, 4 or 5 views	209	107	$74.93	$22.49
72141 MRI scan of upper spinal canal	179	91	$513.97	$85.77
72040 X-ray of upper spine, 2-3 views	138	51	$67.83	$16.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$175.00	$149.72
72170 X-ray of pelvis, 1-2 views	129	60	$39.96	$14.84
72070 X-ray of middle spine, 2 views	126	60	$46.03	$15.08
72084 X-ray of entire middle and lower spine, minimum of 6 views	68	35	$60.81	$39.44
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	62	19	$10.00	$6.78
72146 Mri scan of middle spinal canal	54	26	$500.00	$100.35
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	38	$1700.00	$232.80
22633 Fusion of spine in lower back with partial removal of spine bone and disc	37	37	$5800.00	$1622.38
20939 Harvest of bone marrow for spine surgery graft	33	33	$75.00	$61.03
20552 Injections of trigger points in 1 or 2 muscles	32	19	$90.00	$51.25
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	25	$5212.00	$673.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	12	$75.00	$37.19
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$4000.00	$1381.76
22845 Placement of stabilizing device to front, 2-3 spine bone segments	22	22	$1780.00	$583.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$100.00	$68.78
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$4460.00	$661.41
22830 Exploration of spinal fusion	17	17	$2450.00	$311.48
22310 Closed treatment of broken spine bones with casting or bracing	16	16	$500.00	$282.55
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	13	$1300.00	$363.89
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	15	13	$1100.00	$454.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	686	340	$73.98	$22.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	605	386	$65.00	$39.91
72148 MRI scan of lower spinal canal	428	209	$512.84	$94.46
72100 X-ray of lower and sacral spine, 2-3 views	422	122	$55.71	$15.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	296	$125.00	$97.76
72050 X-ray of upper spine, 4 or 5 views	291	142	$74.74	$20.35
72141 MRI scan of upper spinal canal	213	107	$516.43	$98.11
72170 X-ray of pelvis, 1-2 views	202	96	$40.40	$14.23
72040 X-ray of upper spine, 2-3 views	163	47	$65.46	$15.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$175.00	$150.80
72070 X-ray of middle spine, 2 views	117	57	$46.15	$15.61
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	72	48	$1700.00	$231.72
72084 X-ray of entire middle and lower spine, minimum of 6 views	58	30	$62.07	$39.76
72146 Mri scan of middle spinal canal	51	26	$509.80	$102.67
22633 Fusion of spine in lower back with partial removal of spine bone and disc	46	46	$5800.00	$1688.99
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	35	34	$4000.00	$1462.36
22845 Placement of stabilizing device to front, 2-3 spine bone segments	32	30	$1780.00	$624.93
22842 Placement of stabilizing device to back, 3-6 spine bone segments	31	31	$4851.61	$677.26
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	29	21	$1300.00	$350.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$4460.00	$694.49
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	25	19	$1100.00	$454.44
22830 Exploration of spinal fusion	20	20	$2450.00	$352.74
22214 Incision of spine to correct deformity at lower spinal column	14	14	$2600.00	$679.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	911	431	$73.67	$21.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	717	440	$65.00	$39.22
72148 MRI scan of lower spinal canal	543	265	$510.13	$90.24
72100 X-ray of lower and sacral spine, 2-3 views	443	127	$56.23	$15.75
72050 X-ray of upper spine, 4 or 5 views	429	205	$74.02	$20.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	363	$125.00	$96.68
72141 MRI scan of upper spinal canal	259	129	$515.46	$97.30
72070 X-ray of middle spine, 2 views	220	104	$45.41	$15.30
72040 X-ray of upper spine, 2-3 views	160	49	$65.81	$14.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$175.00	$151.65
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	91	57	$1700.00	$237.61
72146 Mri scan of middle spinal canal	75	37	$506.67	$99.22
72170 X-ray of pelvis, 1-2 views	74	36	$41.08	$14.43
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	15	$8.35	$6.90
22633 Fusion of spine in lower back with partial removal of spine bone and disc	35	35	$5800.00	$1705.32
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	29	29	$4000.00	$1458.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	15	$100.00	$68.40
22845 Placement of stabilizing device to front, 2-3 spine bone segments	28	27	$1780.00	$650.25
20605 Aspiration and/or injection of medium joint or joint capsule	26	18	$90.00	$42.51
22614 Fusion of additional segment of spine	26	13	$1100.00	$362.22
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$4300.00	$706.53
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	17	$1300.00	$367.43
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$4460.00	$703.91
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	21	15	$1100.00	$459.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$125.00	$98.75
J1040 Injection, methylprednisolone acetate, 80 mg	15	13	$20.00	$10.22
22612 Fusion of spine in lower back	14	14	$5420.00	$1463.81

Medical Specialties & State Licenses

CMS Verified: 2023-10-25

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL 24066

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License AL 24066

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Baptist Health Centers Llc

1130 22nd St S, Birmingham, AL 352052881

Phone: 2055188849

Southern Orthopaedic Alliance Pllc

831 Hillcrest Rd, Mobile, AL 366954074

Phone: 2514352663

Baptist Health Centers Llc

3400 Hwy 78 E, Jasper, AL 355018956

Phone: 2053874000

Baptist Health Centers Llc

3400 Hwy 78 E, Jasper, AL 355018954

Phone: 2052211755

Southern Orthopaedic Alliance Pllc

87 19th St W, Jasper, AL 355015430

Phone: 2052213606

Secondary Practice Locations

87 19th St W Ste 300

Jasper, AL 355015430

Phone: 2052215374

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Kendall Vague , MD

Orthopaedic Surgery

NPI 1114925237

Doctor of Medicine (M.D.)

Dr. Jeffrey Cuomo , MD

Specialist

NPI 1265476592

Doctor of Medicine (M.D.)

Adam Kinsaul , CRNP

Nurse Practitioner - Acute Care

NPI 1285945899

Certified Registered Nurse Practitioner

Darcy Mosley , PA

Physician Assistant

NPI 1366456592

Physician Assistant

Valerie Bradford , LMT

Massage Therapist

NPI 1518228790

Licensed Massage Therapist

Gary Russell

Orthopaedic Surgery

NPI 1588662431

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location October 04, 2023

Registered at 2950 HIGHWAY 78 E, JASPER, AL 355018903 (Tel: 2052215374)

📍

Updated Business Mailing Address October 04, 2023

Registered at 2950 HIGHWAY 78 E, JASPER, AL 355018903 (Tel: 2052215374)

📍

Updated Practice Location July 06, 2023

Registered at 87 19TH ST W STE 300, JASPER, AL 355015430 (Tel: 2052756159)

📍

Updated Business Mailing Address July 06, 2023

Registered at 87 19TH ST W STE 300, JASPER, AL 355015430 (Tel: 2052756159)

👤

Provider Name / Credentials Updated July 06, 2023

Recorded as MARK PREVOST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2021

Orthopaedic Surgery (License #24066 in AL)

✅

NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2010

Registered at 2950 HIGHWAY 78 E, JASPER, AL 355018903 (Tel: 2052215374)

📍

Updated Business Mailing Address February 17, 2010

Registered at 2950 HIGHWAY 78 E, JASPER, AL 355018903 (Tel: 2052215374)

👤

Provider Name / Credentials Updated February 17, 2010

Recorded as MARK PREVOST

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Specialist (License #24066 in AL)

🟢

Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720086861

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2005

Last Update: October 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2950 Highway 78 E

Jasper, AL 355018903

Phone: 2052215374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.