Individual provider Active NPI

Alexandria Grace Legg, CRNP

  • Family Nurse Practitioner
  • Moulton, AL
National Provider Identifier
1174330732
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-185023 Issued in AL
Practice address
122 Medical Cir
Moulton, AL 35650-1221
Phone
(256) 410-3544
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 1-185023 AL
Family Nurse Practitioner 363LF0000X 1-185023 AL Primary

Addresses

Primary practice location

122 Medical Cir
Moulton, AL 35650-1221

Mailing address

122 Medical Cir
Moulton, AL 35650-1221
Phone (256) 410-3544

Other names 1

  • Alexandria Grace Shelton Former name

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
I20250202000013 AL Practitioner - Nurse Practitioner 8426587668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McElroy Medical, L.L.C.Group PAC ID 5496830044, 3 clinicians

Practice addresses (Care Compare)

122 Medical Cir
Moulton, AL 35650-1221
Phone (256) 410-3544

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McElroy Medical, L.L.C. CurrentSince Feb 1, 2025 Accepting new patients

Locations

122 Medical Cir
Moulton, AL 35650
Phone (256) 410-3544

Organizations & group practices 1

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1174330732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501221",
            "telephone_number": "256-410-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501221",
            "telephone_number": "256-410-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGG",
        "first_name": "ALEXANDRIA",
        "middle_name": "GRACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-185023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-185023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "SHELTON",
            "middle_name": "GRACE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.