Individual provider Active NPI

Charity Elizabeth Smith, CRNP

  • Family Nurse Practitioner
  • Moulton, AL
National Provider Identifier
1114730454
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-148347 Issued in AL
Practice address
12490 Al Highway 157
Moulton, AL 35650-1062
Phone
(256) 284-7706
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 1-148347 AL Primary

Addresses

Primary practice location

12490 Al Highway 157
Moulton, AL 35650-1062

Mailing address

3515 Cloverdale Rd
Florence, AL 35633-1301
Phone (256) 284-7706

Other practice location 1

343 Highway 72
Killen, AL 35645-2841
Phone (256) 284-7706

Other practice location 2

108 Avalon Ave
Muscle Shoals, AL 35661-2800
Phone (256) 284-7706

Other practice location 3

3515 Cloverdale Rd
Florence, AL 35633-1301
Phone (256) 284-7706

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
I20250212003262 AL Practitioner - Nurse Practitioner 7810427366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attentus Moulton, LLCGroup PAC ID 6406895382, 11 clinicians
Hamilton Family Urgent Care, IncGroup PAC ID 4183057391, 18 clinicians

Practice addresses (Care Compare)

10939 Al Hwy 157
Moulton, AL 35650-1914
Phone (256) 974-3390

3515 Cloverdale Rd
Florence, AL 35633-1301
Phone (256) 284-7706

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Family Urgent Care, Inc Family CurrentSince Feb 5, 2025 Accepting new patients
Hamilton Family Urgent Care, Inc CurrentSince May 25, 2025 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients
Hamilton Family Urgent Care, Inc PastSince May 25, 2025 Accepting new patients

Locations

3515 Cloverdale Rd
Florence, AL 35633
Phone (256) 284-7706

343 Highway 72
Killen, AL 35645
Phone (256) 284-7706

12490 AL Highway 157
Moulton, AL 35650
Phone (256) 284-7706

108 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 284-7706

Organizations & group practices 5

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": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1114730454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331301",
            "telephone_number": "256-284-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501062",
            "telephone_number": "256-284-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Highway 72",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "356452841",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Avalon Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612800",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Cloverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331301",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "fax_number": "256-284-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARITY",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.