Individual provider Active NPI

Kelly William Sadler, NP-C

  • Primary Care Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1316494636
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-133352 Issued in AL
Practice address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone
(251) 928-2401
Fax
(251) 928-5099
NPI assigned
Sep 2, 2016
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-133352 AL Primary

Addresses

Primary practice location

341 Greeno Rd N
Fairhope, AL 36532-2979

Mailing address

341 Greeno Rd N
Fairhope, AL 36532-2979
Phone (251) 928-2401

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001778 AL Practitioner - Nurse Practitioner 3577859867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Baldwin Family Practice LLCGroup PAC ID 6204855703, 4 clinicians

Practice addresses (Care Compare)

202 W Orange Ave
Foley, AL 36535-1942
Phone (251) 943-7237

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Baldwin Family Practice LLC CurrentSince Sep 6, 2016 Accepting new patients
Bayside Orthopedic & Rehabilitation Center PC CurrentSince Jun 15, 2022 Accepting new patients
Bayside Orthopaedic & Rehabilitation Center, P.C. CurrentSince Jun 15, 2022 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jan 1, 2023 Accepting new patients
Coastal Health Connect, LLC Current Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1622 N McKenzie St
Foley, AL 36535
Phone (251) 928-9954

202 W Orange Ave
Foley, AL 36535
Phone (251) 943-7237

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone (251) 435-1164

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kellysadler@sbfp-al.direct.office.nextgen.com
  • Direct secure messaging: ksadler81435@directinfirmaryhealth.org
  • Direct secure messaging: ksalder@bosm2201.srs-direct.com

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 2

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1316494636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "KELLY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-133352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.