Cory Livingston Elmore, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-166005 Issued in AL

Practice address

615 Mynatt St SW Ste E
Hartselle, AL 35640-2878

Phone

(256) 773-2979

Fax

(256) 773-2986

NPI assigned

Jan 27, 2022

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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.

• Hartselle Family Medicine

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1922208057
  Medicare reassignment NPD

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043963432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MYNATT ST SW STE E",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402878",
            "telephone_number": "256-773-2979",
            "fax_number": "256-773-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MYNATT ST SW STE E",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402878",
            "telephone_number": "256-773-2979",
            "fax_number": "256-773-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CORY",
        "middle_name": "LIVINGSTON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-166005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Dukes
• Dunlap Drug Co Inc
• Tommie Lindel Dunlap, RPHA
• Pamela Leigh Ehlman, COTA/L
• Lindsey Elmore Guyse, OD
• Encore Rehabilitation, Inc.
• Katherine C Evans
• Family Health of Hartselle
• Adrianne Franklin
• Freedom at Home, LLC

• Family Medicine Physician in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.