Olivia Ashurst Cockrell

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

300 N College St
Greenville, AL 36037-2025

Phone

(334) 382-2681

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LV Stabler Primary Care LLC

  dba Regional Medical Center Clinics

  • Surgery Physician
  • Greenville, AL
  • NPI 1871003533
  Medicare reassignment

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1124730437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N OLIVER ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372024",
            "telephone_number": "251-510-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COLLEGE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372025",
            "telephone_number": "334-382-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "OLIVIA",
        "middle_name": "ASHURST",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camellia City EMS
• Jessica Gregory Campbell, CRNP
• Marthina Renae Carter, ALC
• Prithviraj Rajaram Chavan, M.D.
• City of Greenville (Greenville Fire Department)
• Jennifer Coker, CRNP
• James Phillip Cole, OD
• Norie Latavia Coleman, RBT
• Comfort Care Hospice, LLC (Aveanna Hospice of Greenville)
• Robert Lister Crosby, D.M.D.

• Medical Physician Assistant in Greenville, AL
• Providers in Greenville, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.