Amanda Lara Storey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32410 Issued in AL

Practice address

4500 Main St
Grant, AL 35747-8303

Phone

(256) 728-8600

Fax

(256) 728-8602

NPI assigned

Jan 8, 2007

Last updated

Nov 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of South Florida College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Medical Center NorthGroup PAC ID 8325162472, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Heartlite Hospice Hospice, Scottsboro, AL, CCN 011634
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandastorey@fmca.allscriptsdirect.net

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.

• Marshall Medical Center North

  dba Grant Primary Care

  • Family Medicine Physician
  • Grant, AL
  • NPI 1104149442
  Medicare reassignment Care Compare group NPD
• Grant Family Medicine, LLC

  • Clinic/Center
  • Grant, AL
  • NPI 1316948649
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Health Home Health of Birmingham, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• LHCG Lxxix, LLC

  dba Heartlite Hospice

  • Community Based Hospice Care Agency
  • Scottsboro, AL
  • NPI 1831556372
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1295883031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT# 0132",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460132",
            "telephone_number": "256-728-8600",
            "fax_number": "256-728-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478303",
            "telephone_number": "256-728-8600",
            "fax_number": "256-728-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5104 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359500237",
            "country_code": "US",
            "telephone_number": "256-878-8180",
            "fax_number": "256-891-3693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "AMANDA",
        "middle_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "32410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1927094",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000150826",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7633871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "809199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51135954",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906772",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0108154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00428736",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Cherise Rembert, CRNP
• Stephanie Michele Rice, NP-C
• Christina M Sallustio, MS CCC-SLP
• Julian F Sparks, DMD
• Chandler Scott Stisher, MD
• Lorraine Deangelis Summerlin, O. D.
• Vivian Nell Hannon
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3769)

• Family Medicine Physician in Grant, AL
• Providers in Grant, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.