Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Antonetti

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1124552856

Jonathan Antonetti is a Plastic and Reconstructive Surgery in Birmingham, Alabama. Graduated from University of Alabama School of Medicine in 2017, 9 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

500 22nd St S # JNWB103
Birmingham, AL 35233-3110
Phone: (205) 516-3521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 817 Princeton Ave Sw, Birmingham, AL 35211-1333 — (205) 783-3191

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 37955 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124552856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing addressPo Box 55310, Birmingham, AL 35255-5310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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