Individual provider Active NPI

Juda Carter, CRNP

  • Family Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1164526711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-081953 Issued in AL
Practice address
1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265-3706
Phone
(256) 435-7300
Fax
(256) 435-7305
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1-081953 AL Primary

Addresses

Primary practice location

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265-3706

Mailing address

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265-3706
Phone (256) 435-7300

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
I20040220000398 AL Practitioner - Nurse Practitioner 9931094604 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Med Care of Jacksonville, P.C.Group PAC ID 0446270318, 7 clinicians
Doctors Med Care of E Gadsden, P.C.Group PAC ID 2163335548, 5 clinicians
Doctors Med Care PCGroup PAC ID 1557314184, 6 clinicians

Practice addresses (Care Compare)

1505 Pelham Rd S
Suite 2
Jacksonville, AL 36265-3707
Phone (256) 435-7300

2108 Rainbow Dr
Gadsden, AL 35901-5510
Phone (256) 547-0160

604 Smith Rd
Albertville, AL 35951-3412
Phone (256) 891-1460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Med Care PC CurrentSince Jun 14, 2016 Accepting new patients
Doctors Med Care of Jacksonville, P.C. CurrentSince Sep 1, 2005 Accepting new patients
Doctors Med Care of Gadsden, P.C. CurrentSince Apr 1, 2005 Accepting new patients
Doctors Med Care of E Gadsden, P.C. CurrentSince Jan 1, 2011 Accepting new patients

Locations

604 Smith Rd
Albertville, AL 35951
Phone (256) 891-1460

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

3206 W Meighan Blvd
Gadsden, AL 35904
Phone (256) 547-2153

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265
Phone (256) 435-7300

Interoperability endpoints

  • Direct secure messaging: juda.carter@docmedjack.direct.medconnect-inc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164526711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PELHAM RD S",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653706",
            "telephone_number": "256-435-7300",
            "fax_number": "256-435-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PELHAM RD S",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653706",
            "telephone_number": "256-435-7300",
            "fax_number": "256-435-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JUDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-081953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.