Individual provider Active NPI

Tracy Calhoun, FNP-BC

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1053018705
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118084 Issued in AL
Practice address
104 Buckingham PL
Gadsden, AL 35904-3131
Phone
(256) 295-0057
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services-Gadsden Physician Management LLC 79 clinicians

Practice addresses (Care Compare)

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

Hospital & facility affiliations

  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

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
I20231018004150 AL Practitioner - Nurse Practitioner 7517312002 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-118084ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

2013 Rainbow Dr
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 1-118084 AL Primary

Addresses

Primary practice location

104 Buckingham PL
Gadsden, AL 35904-3131

Mailing address

104 Buckingham PL
Gadsden, AL 35904-3131
Phone (256) 295-0057

Other identifiers 2

IdentifierTypeStateIssuer
1-118084OtherALBOARD OF NURSING
2022139838OtherANCC

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1053018705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUCKINGHAM PL",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043131",
            "telephone_number": "256-295-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUCKINGHAM PL",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043131",
            "telephone_number": "256-295-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "1-118084",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2022139838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.