NPIMap

Individual provider Active NPI

John David Nall III, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1285029371
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.37437 Issued in AL
Practice address
4700 Whitesburg Dr SE
Suite 250
Huntsville, AL 35802-1687
Phone
(256) 808-2929
Fax
(256) 929-3517
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.37437 AL
Family Medicine Physician 207Q00000X MD.37437 AL Primary

Addresses

Primary practice location

4700 Whitesburg Dr SE
Suite 250
Huntsville, AL 35802-1687

Mailing address

4101 Balmoral Dr SW Ste B
Huntsville, AL 35801-6535
Phone (256) 808-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030000027 AL Practitioner - Family PracticePractitioner - Emergency Medicine 5294088803 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Lakeland LLCGroup PAC ID 2668915471, 22 clinicians
Tempus Primary Care LLCGroup PAC ID 8527457894, 2 clinicians

Practice addresses (Care Compare)

42024 Hwy 195
Haleyville, AL 35565-7054
Phone (205) 486-5213

4700 Whitesburg Dr SE
Suite 250
Huntsville, AL 35802-1687
Phone (256) 808-2929

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.37437ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tempus Primary Care, LLC Family Medicine CurrentSince Aug 3, 2021 Accepting new patients
Lakeland Physicians LLC Emergency Medicine CurrentSince Oct 7, 2018 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Aug 12, 2019 Accepting new patients
Sycamore Lakeland LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Apr 15, 2020 Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients

Locations

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

4101 Balmoral Dr SW
Ste B
Huntsville, AL 35801
Phone (256) 203-3949

4700 Whitesburg Dr SW
Ste 250
Huntsville, AL 35802
Phone (256) 883-7031

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: john.nall.1@24177.direct.athenahealth.com
  • Direct secure messaging: curjnall@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/24177/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 6

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1285029371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BALMORAL DR SW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016535",
            "telephone_number": "256-808-2929",
            "fax_number": "256-489-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WHITESBURG DR SE",
            "address_2": "SUITE 250",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021687",
            "telephone_number": "256-808-2929",
            "fax_number": "256-929-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.37437",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.37437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.