Avra Ratliff Adair – Acute Care Nurse Practitioner

Key facts

NPI: 1194137653
Entity type: Individual (NPI type 1)
Primary specialty: Acute Care Nurse Practitioner 363LA2100X
License: 1-118627 (AL)
Practice address: 1216 Somerville Rd SE
Decatur, AL 35601-4335
Phone: (256) 340-0012
Fax: (254) 340-1408
NPI assigned: Jun 2, 2014
Sex: Female
Sole proprietor: No

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.

Nephrology of North Alabama P.C. Nephrology Physician · Decatur, AL · NPI 1417981622

Medicare reassignment Care Compare group NPD AL

Hospital & facility affiliations 2

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

Cullman Regional Medical Center, Inc General Acute Care Hospital · Cullman, AL · NPI 1114919339

Care Compare affiliation Hospital
H H Health System-Morgan LLC General Acute Care Hospital · Decatur, AL · NPI 1356692297

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Nephrology of North Alabama P.C. (6 clinicians)

Practice addresses (Care Compare)

1890 Al Hwy 157
Cullman, AL 35058-3601
Phone (256) 255-0690

Hospital & facility affiliations

Cullman Regional Medical Center Hospital · Cullman, AL · CCN 010035
Decatur Morgan Hospital - Decatur Campus Hospital · Decatur, AL · CCN 010085

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140822001768	AL	Practitioner - Nurse Practitioner	1658599246	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
1-118627	AL	MD	Acute Care Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Nephrology of North Alabama P.C.		Current since Jun 2, 2014	Accepting new patients

Locations

1734 Eva Rd NE
Cullman, AL 35055
Phone (256) 734-3055

1890 AL Highway 157
Ste 410
Cullman, AL 35058
Phone (256) 255-0690

1216 Somerville Rd SE
Decatur, AL 35601
Phone (256) 340-0012

Interoperability endpoints

Direct secure messaging: avra.adair@nona.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acute Care Nurse Practitioner	363LA2100X	1-118627	AL	Yes

Addresses

Primary practice location

1216 Somerville Rd SE
Decatur, AL 35601-4335

Mailing address

117 County Road 1217
Vinemont, AL 35179-8698
Phone (256) 340-0012

Other providers in Decatur, AL

All providers in Decatur, AL · Acute Care Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.