Individual provider Active NPI

Audrey Carson

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1205426889
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-113197 Issued in AL
Practice address
604 Smith Rd
Albertville, AL 35951-3412
Phone
(256) 891-1460
Fax
(256) 891-2640
NPI assigned
Jan 19, 2021
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 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 1-113197 AL Primary

Addresses

Primary practice location

604 Smith Rd
Albertville, AL 35951-3412

Mailing address

PO Box 1397
Albertville, AL 35950-0023

Other practice location 1

1040 Glenn Blvd SW
Fort Payne, AL 35967-8413
Phone (256) 845-6900

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
I20210511001747 AL Practitioner - Nurse Practitioner 7911316559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Med Care of Fort Payne PCGroup PAC ID 6002821030, 3 clinicians
Doctors Med Care of Gadsden, P.C.Group PAC ID 7517870389, 9 clinicians
Doctors Med Care PCGroup PAC ID 1557314184, 6 clinicians

Practice addresses (Care Compare)

1040 Glenn Blvd SW
Ft Payne, AL 35967-8413
Phone (256) 845-6900

3206 W Meighan Blvd
Gadsden, AL 35904-1726
Phone (256) 547-2153

3206 W Meighan Blvd
Gadsden, AL 35904-1732
Phone (256) 547-2153

604 Smith Rd
Albertville, AL 35951-3412
Phone (256) 891-1460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-113197ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Med Care PC CurrentSince May 1, 2021 Accepting new patients
Doctors Med Care of Fort Payne, P.C. CurrentSince Mar 1, 2021 Accepting new patients
Doctors Med Care of Gadsden, P.C. CurrentSince Jan 2, 2025 Accepting new patients
Doctors Med Care of E Gadsden, P.C. CurrentSince Dec 6, 2024 Accepting new patients

Locations

604 Smith Rd
Albertville, AL 35951
Phone (256) 891-1460

1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

3206 W Meighan Blvd
Gadsden, AL 35904
Phone (256) 547-2153

Organizations & group practices 4

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 1

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1205426889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1397",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SMITH RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513412",
            "telephone_number": "256-891-1460",
            "fax_number": "256-891-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Glenn Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359678413",
            "country_code": "US",
            "telephone_number": "256-845-6900",
            "fax_number": "256-845-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-113197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.