Individual provider Active NPI

Tacarla Shantese Pearson, CRNP

  • Family Nurse Practitioner
  • Selma, AL
National Provider Identifier
1023592045
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-139543 Issued in AL
Practice address
1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739
Phone
(334) 875-4184
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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 1-139543 AL Primary

Addresses

Primary practice location

1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739

Mailing address

1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739
Phone (334) 875-4184

Other practice location 1

1015 Medical Center Pkwy
Selma, AL 36701-6748
Phone (334) 418-4100

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
I20220819000404 AL Practitioner - Nurse Practitioner 8224411525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

3520 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 414-6210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.09 of 100Reported as group
Quality
52.05
Promoting interoperability
80
Improvement activities
40
Cost
68.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Mar 29, 2022 Accepting new patients
Signify Health, LLC CurrentSince Oct 1, 2025 Accepting new patients
Russell Hospital Corporation CurrentSince Mar 29, 2022 Accepting new patients
Russell Hospital Corporation Past Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1023592045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 200",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017739",
            "telephone_number": "334-875-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 200",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017739",
            "telephone_number": "334-875-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367016748",
            "country_code": "US",
            "telephone_number": "334-418-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "TACARLA",
        "middle_name": "SHANTESE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.