Individual provider Active NPI

Susan Flexer Roy, CRNP, FNP

  • Family Nurse Practitioner
  • Demopolis, AL
National Provider Identifier
1194864124
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-098539 Issued in AL
Practice address
705 US Highway 80 W
Demopolis, AL 36732-4113
Phone
(334) 289-0225
Fax
(334) 287-0245
NPI assigned
Feb 6, 2007
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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 1-098539 AL Primary

Addresses

Primary practice location

705 US Highway 80 W
Demopolis, AL 36732-4113

Mailing address

705 US Highway 80 W
Demopolis, AL 36732-4113
Phone (334) 289-0225

Other identifiers 4

IdentifierTypeStateIssuer
630503108MedicaidAL
A003932OtherARAR STATE LICENSE
5XX70OtherARBCBS
51536625OtherALBLUE CROSS OF ALABAMA

Other names 1

  • Susan K Flexer 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
I20070418000563 AL Practitioner - Nurse Practitioner 7416052535 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcenter Demopolis LLCGroup PAC ID 0244409134, 14 clinicians

Practice addresses (Care Compare)

705 US Hwy 80 W
Demopolis, AL 36732-4113
Phone (205) 333-1993

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Demopolis, LLC CurrentSince May 29, 2019 Accepting new patients
Medcenter Fayette, LLC Family CurrentSince Jul 1, 2019 Accepting new patients
Physicians Care of Sweet Water LLC Current Accepting new patients
Urgent Care Northwest PC CurrentSince Jun 1, 2025 Accepting new patients
Tuscaloosa Medcenter South, LLC CurrentSince Jul 1, 2019 Accepting new patients
Medcenter Primary Care, LLC Family CurrentSince Oct 3, 2022 Accepting new patients
Tuscaloosa Medcenter North, LLC CurrentSince Jul 1, 2019 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients

Locations

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

1199 Highway 31 NW
Ste F
Hartselle, AL 35640
Phone (256) 965-3010

14731 Highway 231 431 N
Ste C
Hazel Green, AL 35750
Phone (938) 246-8010

5800 Oakwood Rd NW
Ste A
Huntsville, AL 35806
Phone (938) 259-3010

2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253

7129 Wall Triana Hwy
Ste C
Madison, AL 35757
Phone (938) 310-5010

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

31431 AL Highway 10
Sweet Water, AL 36782
Phone (334) 636-5311

4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1194864124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 US HIGHWAY 80 W",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324113",
            "telephone_number": "334-289-0225",
            "fax_number": "334-287-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 US HIGHWAY 80 W",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324113",
            "telephone_number": "334-289-0225",
            "fax_number": "334-287-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SUSAN",
        "middle_name": "FLEXER",
        "credential": "CRNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-098539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630503108",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE LICENSE",
            "identifier": "A003932",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5XX70",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51536625",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FLEXER",
            "middle_name": "K",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Demopolis, AL

Sources for this page

Verify at the official NPI Registry.