Justin Chase Ford, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-136145 Issued in AL

Practice address

1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194

Phone

(256) 458-0899

Fax

(866) 265-9563

NPI assigned

Sep 28, 2016

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Lifehealth PCGroup PAC ID 7315233954, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Merit-based Incentive Payment System (MIPS)

Final score

92.57 of 100Reported as group

Quality

78.21

Improvement activities

40

Cost

78.63

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCDGAD

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.

• Lifehealth, P.C.

  • Nephrology Physician
  • Gadsden, AL
  • NPI 1093168437
  Medicare reassignment Care Compare group NPD
• Regional Hospitalists LLC

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1477153021
  Medicare reassignment NPD
• Doctors Care Physicians PC

  • Clinic/Center
  • Gadsden, AL
  • NPI 1700802766
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• Prime Healthcare Services - Gadsden LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857
  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1164971404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-458-0899",
            "fax_number": "866-265-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-458-0899",
            "fax_number": "866-265-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Center Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359031136",
            "country_code": "US",
            "telephone_number": "256-458-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 US Highway 431 Ste 270",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575934",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Cades Ave SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683554",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351259314",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 E South Blvd Ste 708",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162014",
            "country_code": "US",
            "telephone_number": "334-457-7212",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7938 Al Highway 69 Ste 360",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359767177",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JUSTIN",
        "middle_name": "CHASE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-136145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitzwater & Fitzwater Chiropractic PC
• Darla Elaine Fitzwater, DC
• Glenn S Fitzwater, DC
• April Fleming
• Melissa Kay Fleming, CRNA
• Marsha Carpenter Ford, OTR
• Mary Catherine Fore
• Lisa Diane Foreman, NP
• Forrest Ave Medical Clinic, LLC
• Johnny Gerald Foster Jr., DMD

• Acute Care Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.