Individual provider Active NPI

Avra Ratliff Adair, CRNP

  • Acute Care Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1194137653
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-118627 Issued in AL
Practice address
1216 Somerville Rd SE
Decatur, AL 35601-4335
Phone
(256) 340-0012
Fax
(254) 340-1408
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-118627 AL Primary

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

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
I20140822001768 AL Practitioner - Nurse Practitioner 1658599246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 4082682745, 6 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-118627ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology of North Alabama P.C. CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1194137653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 COUNTY ROAD 1217",
            "city": "VINEMONT",
            "state": "AL",
            "postal_code": "351798698",
            "telephone_number": "256-340-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014335",
            "telephone_number": "256-340-0012",
            "fax_number": "254-340-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "AVRA",
        "middle_name": "RATLIFF",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-118627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.