Individual provider Active NPI

Larry C Norris, P.A.

  • Medical Physician Assistant
  • Opp, AL
National Provider Identifier
1356343271
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA195 Issued in AL
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

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 12 clinicians

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 Home health agency, Opp, AL, CCN 017134
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-195ALMDPhysician Assistant
PA195ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mizell Memorial Hospital, Inc. CurrentSince Dec 5, 2018 Accepting new patients
Mizell Memorial Hospital, Inc. CurrentSince Dec 5, 2018 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.