Individual provider Active NPI

Angela Payne Klinkhammer, APRN

  • Family Nurse Practitioner
  • Rome, GA
National Provider Identifier
1083086300
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN252641 Issued in GA
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-4340
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 RN252641 GA Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340

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
I20180809006252 AL Practitioner - Nurse Practitioner 4981904786 Reassigns benefits to 1 organization

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
Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

3368 Hwy 280 209
Alexander City, AL 35010-3375
Phone (254) 215-7474

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
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Jun 1, 2018 Accepting new patients
Russell Hospital Corporation CurrentSince Jun 1, 2018 Accepting new patients
Russell Hospital Corporation Past Accepting new patients
The Russell Hospital Corporation Past Accepting new patients

Locations

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

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1083086300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKHAMMER",
        "first_name": "ANGELA",
        "middle_name": "PAYNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN252641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.