Individual provider Active NPI

Shannon A Yarbrough, N.P.

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1295770220
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-096078 Issued in AL
Practice address
1900 International Park Dr Ste 250
Birmingham, AL 35243-4217
Phone
(205) 730-7980
Fax
(205) 730-7980
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN132591 GA
Family Nurse Practitioner 363LF0000X 1-096078 AL Primary

Addresses

Primary practice location

1900 International Park Dr Ste 250
Birmingham, AL 35243-4217

Mailing address

6 Eagles Fair
Gadsden, AL 35905-8847
Phone (256) 557-2651

Other names 1

  • Shannon A Pruitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040706000312 GA Practitioner - Nurse Practitioner 6608853908
I20111103000707 AL Practitioner - Nurse Practitioner 6608853908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice Advantage Midco LLCGroup PAC ID 6608020334, 12 clinicians

Practice addresses (Care Compare)

1900 International Park Dr
Suite 200
Birmingham, AL 35243-4217
Phone (205) 730-7980

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN132591GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Advantage Midco, LLC Current Accepting new patients
Hospice Advantage Midco, LLC Family CurrentSince Jul 7, 2025 Accepting new patients

Locations

333 Samford Village Ct
Ste B
Auburn, AL 36830
Phone (334) 458-9256

1900 International Park Dr
Ste 200
Birmingham, AL 35243
Phone (205) 602-3931

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 2

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.

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1295770220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EAGLES FAIR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359058847",
            "telephone_number": "256-557-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 INTERNATIONAL PARK DR STE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352434217",
            "telephone_number": "205-730-7980",
            "fax_number": "205-730-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "SHANNON",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN132591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-096078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "PRUITT",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.