Organization Active NPI

Nomad Medical Services

  • Primary Care Clinic/Center
  • New Hope, AL
National Provider Identifier
1275260093
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NOMAD MEDICAL SERVICES
Practice address
5398 Main Dr
New Hope, AL 35760-9115
Phone
(256) 889-1604
Fax
(256) 292-0842
NPI assigned
Aug 2, 2022
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Elizabeth Perkins Hayes, PA-CNPI 1093183592
Title
Co-Owner
Phone
(256) 469-0291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5398 Main Dr
New Hope, AL 35760-9115

Mailing address

5398 Main Dr
New Hope, AL 35760-9115
Phone (256) 889-1604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eperkinshayes@nomadmedicalservices.kareodirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227001449 AL Part B Supplier - Clinic/Group Practice 7416320254 Receives reassigned benefits from 5 practitioners
Practice locations: New Hope, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2263445Nomad Medical Services5398 Main Drive, #C, New Hope, AL 35760Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

9032 Memorial Pkwy SW
Ste A
Huntsville, AL 35802
Phone (609) 608-0653

5398 Main Dr
New Hope, AL 35760
Phone (205) 723-4245

5398 Main Dr
Ste C
New Hope, AL 35760
Phone (256) 889-1604

Interoperability endpoints

  • Direct secure messaging: eperkinshayes@nomadmedicalservices.kareodirect.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1275260093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 MAIN DR",
            "city": "NEW HOPE",
            "state": "AL",
            "postal_code": "357609115",
            "telephone_number": "256-889-1604",
            "fax_number": "256-292-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 MAIN DR",
            "city": "NEW HOPE",
            "state": "AL",
            "postal_code": "357609115",
            "telephone_number": "256-889-1604",
            "fax_number": "256-292-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAD MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "PERKINS HAYES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "256-469-0291",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eperkinshayes@nomadmedicalservices.kareodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9032A Memorial Pkwy SW # 1013",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358023027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.