Nathan Shrader

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3170 Martin Luther King Jr Pkwy S
Phenix City, AL 36869-8405

Phone

(334) 298-2405

Fax

(334) 742-2840

NPI assigned

Apr 30, 2025

Sex

Male

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• East Alabama Mental Health-Mental Retardation Board Incorpor

  • Community/Behavioral Health Agency
  • Opelika, AL
  • NPI 1336169606

  AL

  Medicare reassignment NPD
• East Alabama Mental Health-Mental Retardation Board Incorpor

  • Community/Behavioral Health Agency
  • Opelika, AL
  • NPI 1053281014
  NPD (past)

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1154119915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAMBERT DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017237",
            "telephone_number": "334-742-2718",
            "fax_number": "334-742-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 MARTIN LUTHER KING JR PKWY S",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368698405",
            "telephone_number": "334-298-2405",
            "fax_number": "334-742-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conli April Schwarz, DO
• Bethany Christiane Scott
• Senior Care of Alabama, L.L.C.
• Serene Sunsets, LLC.
• Courtney Sharpe
• Abdul-Wali Kasib Siddiq
• Julia J Sieth, MD
• Rebekah Washington Simmons, APRN
• Tucker Dee Simmons I
• Cassady Sims

• All providers in Phenix City, AL
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.