Individual provider Active NPI

Christopher Carlson, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1043684822
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-138659 Issued in AL
Practice address
833 Princeton Ave SW
Birmingham, AL 35211-1323
Phone
(205) 786-2776
Fax
(205) 786-6227
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-138659 AL Primary

Addresses

Primary practice location

833 Princeton Ave SW
Birmingham, AL 35211-1323

Mailing address

833 Princeton Avenue SW
Pob III, Suite 200a
Birmingham, AL 35211-1323
Phone (205) 786-2776

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
I20180801003680 AL Practitioner - Nurse Practitioner 1254689607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Nov 29, 2021 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776

833 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 783-3098

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

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 and National Provider Directory roles.

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1043684822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVENUE SW",
            "address_2": "POB III, SUITE 200A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-786-2776",
            "fax_number": "205-786-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-786-2776",
            "fax_number": "205-786-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHRISTOPHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-138659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.