Caleb Elmore, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-122173 Issued in AL

Practice address

701 University Blvd E Ste 400
Tuscaloosa, AL 35401-7428

Phone

(205) 752-0694

Fax

(205) 752-6244

NPI assigned

Jun 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Druid City Physician Services LLCGroup PAC ID 1759776107, 17 clinicians

Relias Emergency Medicine Specialists of Northport, LLCGroup PAC ID 2668724634, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Merit-based Incentive Payment System (MIPS)

Final score

98.92 of 100Reported as group

Quality

95.95

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Druid City Physician Services, LLC

  • Maternal & Fetal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1356911564

  AL

  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Northport, LLC

  • Emergency Medicine Physician
  • Northport, AL
  • NPI 1699261149

  AL

  Medicare reassignment Care Compare group NPD
• Cardiology Consultants PC

  • Interventional Cardiology Physician
  • Tuscaloosa, AL
  • NPI 1548224157

  AL

  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Regional, LLC

  • Emergency Medicine Physician
  • Tuscaloosa, AL
  • NPI 1619463163

  AL

  Medicare reassignment NPD
• Druid City Physician Services, LLC

  • Interventional Cardiology Physician
  • Tuscaloosa, AL
  • NPI 1619760162
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1013322288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017428",
            "telephone_number": "205-752-0694",
            "fax_number": "205-752-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017428",
            "telephone_number": "205-752-0694",
            "fax_number": "205-752-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CALEB",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-122173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Deon Elliott
• Kristy Latoya Elliott, HAIR LOSS SPECAILIST
• Lucas Scott Elliott
• Jared S Ellis, MD
• Amanda Kelly Elmore
• Tamer M Elsayed, MD
• Emergi-Care Clinici, P.C.
• Emerging Hope Counseling Services LLC
• Dee Ann Emery, RD
• Jared Emery, LPC

• All providers in Tuscaloosa, AL
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.