Individual provider Active NPI

Margaret Davis Kellar, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1124644802
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-157369 Issued in AL
Practice address
374 Greeno Rd S
Fairhope, AL 36532-1916
Phone
(251) 450-2211
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-157369 AL Primary

Addresses

Primary practice location

374 Greeno Rd S
Fairhope, AL 36532-1916

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316

Other names 1

  • Sarah Margaret Davis Former name

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
I20200807001725 AL Practitioner - Nurse Practitioner 4880019868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

374 S Greeno Rd
Fairhope, AL 36532-1916
Phone (251) 660-2360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jul 21, 2020 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Jul 21, 2020 Accepting new patients

Locations

374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1124644802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-450-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "MARGARET",
        "middle_name": "DAVIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-157369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DAVIS",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.