Individual provider Active NPI

Charles W Nolen Jr., M.D.

  • Family Medicine Physician
  • Fayette, AL
National Provider Identifier
1346289105
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14531 Issued in AL
Practice address
1705 1St Way NW
Fayette, AL 35555-1307
Phone
(205) 932-7821
Fax
(205) 932-7684
NPI assigned
Jun 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14531 AL Primary

Addresses

Primary practice location

1705 1St Way NW
Fayette, AL 35555-1307

Mailing address

PO Box 190
Fayette, AL 35555-0190
Phone (205) 932-7821

Other identifiers 1

IdentifierTypeStateIssuer
82650OtherALTRICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000155 AL Practitioner - General Practice 3173647922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 1St Way NW
Fayette, AL 35555-1307
Phone (205) 932-7821

PO Box
Suite 190
Fayette, AL 35555-0190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.49 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
78.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14531ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W. Nolen, Jr., M.D., P.C. Family Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

1705 1st Way NW
Fayette, AL 35555
Phone (205) 932-7684

Organizations & group practices 1

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 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346289105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355550190",
            "telephone_number": "205-932-7821",
            "fax_number": "205-932-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 1ST WAY NW",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551307",
            "telephone_number": "205-932-7821",
            "fax_number": "205-932-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "82650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.