Individual provider Active NPI

Ragan Overby, CRNP

  • Family Nurse Practitioner
  • Gardendale, AL
National Provider Identifier
1144705682
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-102161 Issued in AL
Practice address
960 Mount Olive Parkway
Gardendale, AL 35071
Phone
(205) 934-3411
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 1-102161 AL Primary

Addresses

Primary practice location

960 Mount Olive Parkway
Gardendale, AL 35071

Mailing address

960 Rocket Way
Gardendale, AL 35071-4745
Phone (205) 263-0952

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
I20181201000079 AL Practitioner - Nurse Practitioner 9335483304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Hill Family Care LLCGroup PAC ID 1951752708, 7 clinicians
Smith Lake Family Care LLCGroup PAC ID 7911319777, 9 clinicians

Practice addresses (Care Compare)

31040 1St Ave NE
Suite 6
Carbon Hill, AL 35549-4152
Phone (205) 931-0707

6610 Curry Hwy
Jasper, AL 35503-5664
Phone (205) 878-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-102161ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Hill Family Care LLC CurrentSince Jan 7, 2024 Accepting new patients
Smith Lake Family Care LLC Family CurrentSince Jan 7, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2018 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

31040 1st Ave NE
Ste 6
Carbon Hill, AL 35549
Phone (205) 878-4800

960 Rocket Way
Gardendale, AL 35071
Phone (205) 263-0952

960 Mount Olive Rd
Gardendale, AL 35071
Phone (205) 263-0952

6610 Curry Hwy
Jasper, AL 35503
Phone (205) 295-2020

Interoperability endpoints

  • Direct secure messaging: roverby@direct.uabmedicine.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1144705682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 ROCKET WAY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350714745",
            "telephone_number": "205-263-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 MOUNT OLIVE PARKWAY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-934-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBY",
        "first_name": "RAGAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-102161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.