Provider Demographics
NPI:1013924232
Name:HANKINS, JIMMY STEVEN (DO)
Entity type:Individual
Prefix:
First Name:JIMMY
Middle Name:STEVEN
Last Name:HANKINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1862
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36536-1862
Mailing Address - Country:US
Mailing Address - Phone:251-943-5440
Mailing Address - Fax:251-943-5404
Practice Address - Street 1:915 W LAUREL AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1324
Practice Address - Country:US
Practice Address - Phone:251-943-5440
Practice Address - Fax:251-943-5404
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO199207Q00000X, 2083P0500X
ALD01992083X0100X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009971935Medicaid
ALP00382305OtherMEDICARE RAILROAD
AL051523528OtherBLUE CROSS
ALE34001Medicare UPIN
AL009971935Medicaid