Individual provider Active NPI

Carla Ann Baxley, CRNP

  • Family Nurse Practitioner
  • Irvington, AL
National Provider Identifier
1013320167
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-053425 Issued in AL
Practice address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone
(251) 824-2174
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-053425 AL Primary

Addresses

Primary practice location

12701 Padgett Switch Rd
Irvington, AL 36544-4011

Mailing address

PO Box 769
Bayou la Batre, AL 36509-0769

Other identifiers 2

IdentifierTypeStateIssuer
512-51218OtherALBCBS
261239MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000646 AL Practitioner - Nurse Practitioner 3678792173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou la Batre Area Health Development Board, Inc. 15 clinicians

Practice addresses (Care Compare)

12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone 25182421745412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-053425ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Nov 23, 2020 Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Nov 23, 2020 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Jun 21, 2014 Accepting new patients

Locations

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

7777 Highway 43
Mc Intosh, AL 36553
Phone (251) 944-2842

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73288
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD
  • FHIR API: https://api.platform.athenahealth.com/14082/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD/Endpoint/CIEDDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1013320167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365090769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-053425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-51218",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261239",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

Verify at the official NPI Registry.