Active NPI
Larry C Norris, P.A.
- Medical Physician Assistant
- Opp, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA195
- Practice address
- 103 E Memorial Ave
Opp, AL 36467-1746 - Phone
- (334) 493-5555
- Fax
- (334) 493-0517
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-195 | AL | |
| Medical Physician Assistant | 363AM0700X | PA195 | AL | Primary |
Addresses
Primary practice location
103 E Memorial Ave
Opp, AL 36467-1746
Mailing address
PO Box 1010
Opp, AL 36467-1010
Phone (334) 493-5555
Other practice location 1
702 N Main St
Opp, AL 36467-1626
Phone (334) 493-3541
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040707000548 | AL | Practitioner - Physician Assistant | 9830176858 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mizell Memorial Hospital, Inc.
Practice addresses (Care Compare)
103 E Memorial Ave
Opp, AL 36467-1746
Phone (334) 493-5555
702 Main St N
Opp, AL 36467-1626
Phone 33449335411131
702 N Main St
Opp, AL 36467-1626
Phone 33449335411131
Hospital & facility affiliations
- LHC Homecare of South Alabama
- Mizell Memorial Hospital
- Andalusia Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-195 | AL | MD | Physician Assistant |
| PA195 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mizell Memorial Hospital, Inc. | Current | Accepting new patients | |
| Mizell Memorial Hospital, Inc. | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients |
Locations
508 E Three Notch St
Andalusia, AL 36420
Phone (334) 362-2015
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
103 E Memorial Ave
#A
Opp, AL 36467
Phone (334) 493-0781
702 N Main St
Opp, AL 36467
Phone (334) 493-2342
103 E Memorial Ave
Opp, AL 36467
Phone (334) 493-0606
Interoperability endpoints
- larry.norris.1@22680.direct.athenahealth.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Elba, AL
- NPI 1033863170
-
- Specialist
- Opp, AL
- NPI 1548809403
-
- Family Medicine Physician
- Opp, AL
- NPI 1760728455
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
Hospital
-
- Home Health Agency
- Opp, AL
- NPI 1033293352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1356343271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "OPP",
"state": "AL",
"postal_code": "364671010",
"telephone_number": "334-493-5555",
"fax_number": "334-493-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E MEMORIAL AVE",
"city": "OPP",
"state": "AL",
"postal_code": "364671746",
"telephone_number": "334-493-5555",
"fax_number": "334-493-0517"
}
],
"practiceLocations": [
{
"address_1": "702 N Main St",
"address_purpose": "LOCATION",
"city": "Opp",
"state": "AL",
"postal_code": "364671626",
"country_code": "US",
"telephone_number": "334-493-3541",
"fax_number": "334-493-9664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORRIS",
"first_name": "LARRY",
"middle_name": "C",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA-195",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opp, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.