KALEB JORDON COLEMAN (PA) – Physician Assistant, NPI 1194314211

KALEB JORDON COLEMAN (PA) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.1724 (AL). The NPI Number for KALEB JORDON COLEMAN (PA) is 1194314211

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KALEB JORDON COLEMAN (PA)
NPI
1194314211
Phone
(251) 450-2756
Address
PO BOX 86144
Enumeration Date
13 January 2021
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
MISSISSIPPI MEDICAL COLLEGE
Secondary Phone
2514765050
Graduation Year
2020 (6 years ago)
PAC ID
2860808599
Group Practice PAC ID
2264331826
Professional Enrollment ID
I20210304000759
Address ID
AL366083143MO6144XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for KALEB JORDON COLEMAN (PA)

  • PO BOX 86144

    MOBILE, AL 366896144

    Phone: (251) 450-2756

    Type: Mailing

  • 1711 N MCKENZIE ST STE 100

    FOLEY, AL 365352282

    Phone: (251) 476-5050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $578.

Total Amount is formed as General ($578) + Research ($0) + Ownership ($0) = $578.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Stryker Corporation ($205).

Total Amount

$578

General + Research + Ownership

Payments

10

Total payment records

General Amount

$578

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210304000759IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg26031$0
99214Established patient office or other outpatient visit, 30-39 minutes134110$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13230$0
73562X-ray of knee, 3 views3929$0
27447Replacement of knee joint, both sides of knee3736$0
View full utilization report →

Insurance plans in this area (ZIP 36689)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264331826View full group profile
NameSpecialtyState
Nurse PractitionerAL
Orthopedic SurgeryAL
Orthopedic SurgeryAZ
Physician AssistantAL
Orthopedic Surgery, Hand SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is the registry number for KALEB JORDON COLEMAN (PA)?
The registry entry for KALEB JORDON COLEMAN (PA) shows NPI 1194314211.
Should I treat KALEB JORDON COLEMAN (PA) as an active provider?
Patients and plans typically see KALEB JORDON COLEMAN (PA) as active in the national extract.
What services align with KALEB JORDON COLEMAN (PA)'s listing?
KALEB JORDON COLEMAN (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KALEB JORDON COLEMAN (PA)?
KALEB JORDON COLEMAN (PA) shows a connection to Mobile, Alabama in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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