Gerard Christian Carbonell Nolan, CRNP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1-134887 Issued in AL

Practice address

1320 Woodfin LN
Clanton, AL 35045-8732

Phone

(205) 755-3500

NPI assigned

Jun 9, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Clanton Internal Medicine LLC

  • Internal Medicine Physician
  • Clanton, AL
  • NPI 1821029240

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1336716174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODFIN LN",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458732",
            "telephone_number": "205-755-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODFIN LN",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458732",
            "telephone_number": "205-755-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "GERARD CHRISTIAN",
        "middle_name": "CARBONELL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1-134887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Alabama LLC
• Wade B. Naven, M.D.
• Neighborhood Medical Supply, Inc.
• Adrienne Newsome
• Nna of Alabama, Inc.
• Ma. Isabel Nolan
• Orthosports Associates, LLC
• Tyler Owens, PTA, ATC
• Ajay Patel, M.D.
• Cecil D Pavey

• Internal Medicine Physician in Clanton, AL
• Providers in Clanton, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.