Individual provider Active NPI

Stephanie Ann Fouts, CRNP

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1104471978
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-134721 Issued in AL
Practice address
6701 Airport Blvd.
B BLDG., T Level
Mobile, AL 36608-3764
Phone
(251) 625-6896
Fax
(251) 266-3209
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Cancer Center PC 25 clinicians

Practice addresses (Care Compare)

6701 Airport Blvd
Mobile, AL 36608-6705
Phone (251) 625-6896

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as subgroup
Quality
91.87
Promoting interoperability
100
Improvement activities
40
Cost
71.54

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
I20191113001540 AL Practitioner - Nurse Practitioner 3870925886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-134721ALMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cancer Center, PC Hematology & Oncology CurrentSince Oct 1, 2019 Accepting new patients
Southern Cancer Center, PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

29653 Anchor Cross Blvd
Daphne, AL 36526
Phone (251) 626-1755

669 S McKenzie St
Ste 103
Foley, AL 36535
Phone (850) 934-2180

3719 Dauphin St
Fl 5
Mobile, AL 36608
Phone (251) 607-5061

6701 Airport Blvd
Mobile, AL 36608
Phone (251) 545-4776

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

6701 Airport Blvd
Ste A203
Mobile, AL 36608
Phone (251) 665-8290

6701 Airport Blvd
Bldg T
Mobile, AL 36608

Interoperability endpoints

  • Direct secure messaging: stephanie.fouts@southerncancercenter.ikm.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-134721 AL Primary
Hematology & Oncology Physician 207RH0003X 1-134721 AL

Addresses

NPPES NPI Registry

Primary practice location

6701 Airport Blvd.
B BLDG., T Level
Mobile, AL 36608-3764

Mailing address

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

Other practice location 1

3719 Dauphin St Fl 5
Mobile, AL 36608-1753
Phone (251) 625-6896

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
A07863AOtherALMEDICARE PTAN
241437MedicaidAL
P02566938OtherALRAILROAD MEDICARE
241021MedicaidAL
241763MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2026.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1104471978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD.",
            "address_2": "B BLDG., T LEVEL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083764",
            "telephone_number": "251-625-6896",
            "fax_number": "251-266-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 Dauphin St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081753",
            "country_code": "US",
            "telephone_number": "251-625-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUTS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-134721",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "1-134721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A07863A",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241437",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02566938",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241021",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241763",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.