Deborah Jenkins Kidd, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-092340 Issued in AL

Practice address

1015 Medical Center Pkwy
Selma, AL 36701-6748

Phone

(334) 418-4100

NPI assigned

Dec 13, 2017

Last updated

Dec 13, 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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Tuscaloosa Medcenter North, LLCGroup PAC ID 9537167721, 24 clinicians

Urgent Care Northwest PCGroup PAC ID 2062595598, 37 clinicians

Medcenter Demopolis LLCGroup PAC ID 0244409134, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.43 of 100Reported as group

Quality

65.59

Improvement activities

40

Cost

64.54

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Tuscaloosa Medcenter North, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1972518777
  Medicare reassignment Care Compare group NPD
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1548456494
  Medicare reassignment Care Compare group
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment NPD
• Medcenter Fayette, LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1235590001
  Medicare reassignment NPD
• Medcenter Primary Care, LLC

  dba MedCenter NorthRiver

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357
  Medicare reassignment NPD
• Tuscaloosa Medcenter South, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689689481
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1326553264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016748",
            "telephone_number": "334-418-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "DEBORAH",
        "middle_name": "JENKINS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph H Carstarphen (Interlink Drug Company)
• Julie R. Sams, DMD, LLC
• Saima Kanwal, MD
• Theresa Kemp
• Patricia Ann Kendrick-Robinson, M.D.
• Kiddie Kastle Inc. (Horizon Group Home)
• Anetrial G. King, FNP-C
• Clarissa Renea King, MSN APRN FNP-C
• Mary Chelimo Kipchumba, CRNP
• Reema Klinger, MD

• Family Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.