Individual provider Active NPI

Sharonda Coutch

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1306364955
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116212 Issued in AL
Practice address
1925 W Main St Ste 102
Centre, AL 35960
Phone
(256) 677-4552
NPI assigned
Sep 5, 2017
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 GAA-NP001984 GA
Family Nurse Practitioner 363LF0000X 1-116212 AL Primary

Addresses

Primary practice location

1925 W Main St Ste 102
Centre, AL 35960

Mailing address

1500 1St Ave Unit 3
Birmingham, AL 35203-1866
Phone (256) 677-4552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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
I20171012002088 AL Practitioner - Nurse Practitioner 9032484316 Reassigns benefits to 2 organizations
I20240311000325 GA Practitioner - Nurse Practitioner 9032484316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8606
Phone (205) 545-5088

1925 W Main St
Suite 120
Centre, AL 35960-2835
Phone (256) 677-4552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-116212ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Sep 1, 2017 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 1, 2017 Accepting new patients
Rural Urgent Care LLC PastSince Nov 22, 2020 Accepting new patients
Rural Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1925 W Main St
Ste 102
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

40900 US Highway 280
Sylacauga, AL 35150
Phone (256) 369-0022

837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134

3306 20th Ave
Valley, AL 36854
Phone (205) 545-5090

3910 Washington Rd
Augusta, GA 30907
Phone (205) 644-8256

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

3615 Browns Bridge Rd
#A
Cumming, GA 30028
Phone (678) 456-4273

25 Highland Xing S
Ellijay, GA 30540
Phone (334) 689-4025

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1306364955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "256-677-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST STE 102",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "35960",
            "telephone_number": "256-677-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTCH",
        "first_name": "SHARONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.