Individual provider Active NPI

Quintela Clopton, A-CRNP

  • Gerontology Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1275132185
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-153898 Issued in AL
Practice address
216 Aquarius Dr Ste 306
Birmingham, AL 35209-5863
Phone
(205) 949-0400
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-153898 AL Primary

Addresses

Primary practice location

216 Aquarius Dr Ste 306
Birmingham, AL 35209-5863

Mailing address

216 Aquarius Dr Ste 306
Birmingham, AL 35209-5863
Phone (205) 949-0400

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
I20210917000992 AL Practitioner - Nurse Practitioner 9830596832 Reassigns benefits to 1 organization

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
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

30 7TH St
Pleasant Grove, AL 35127-1962
Phone (205) 343-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-153898ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince May 23, 2022 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

30 7th St
Pleasant Grv, AL 35127
Phone (205) 744-7714

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1275132185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 AQUARIUS DR STE 306",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095863",
            "telephone_number": "205-949-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 AQUARIUS DR STE 306",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095863",
            "telephone_number": "205-949-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOPTON",
        "first_name": "QUINTELA",
        "name_prefix": "Ms.",
        "credential": "A-CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-153898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.