Active NPI
Sharonda Coutch
- Family Nurse Practitioner
- Centre, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-116212
- Practice address
- 1925 W Main St Ste 102
Centre, AL 35960 - Phone
- (256) 677-4552
- NPI assigned
- Sep 5, 2017
- Last updated
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-116212 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Past | Accepting new patients | |
| Rural Urgent Care LLC | Past | 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.
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
dba MainStreet Family Care
- Urgent Care Clinic/Center
- East Ellijay, GA
- NPI 1184227845
-
dba MainStreet Family Care
- Urgent Care Clinic/Center
- Cumming, GA
- NPI 1902587025
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.