Individual provider Active NPI

Michelle A Stuart, CRNP

  • Family Nurse Practitioner
  • Geraldine, AL
National Provider Identifier
1366869125
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1109116 Issued in AL
Practice address
41263 Al Highway 75 Ste D
Geraldine, AL 35974-3724
Phone
(256) 659-2000
Fax
(256) 659-2002
NPI assigned
Mar 18, 2014
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1109116 AL Primary

Addresses

Primary practice location

41263 Al Highway 75 Ste D
Geraldine, AL 35974-3724

Mailing address

41263 Al Highway 75 Ste D
Geraldine, AL 35974-3724
Phone (256) 659-2000

Other names 1

  • Michelle Burgess Former name

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
I20140520002496 AL Practitioner - Nurse Practitioner 2264655281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Geraldine Clinic LLCGroup PAC ID 4981038072, 2 clinicians

Practice addresses (Care Compare)

13808 Al Hwy 227
Geraldine, AL 35974-3034
Phone (256) 659-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Geraldine Clinic LLC CurrentSince Aug 6, 2019 Accepting new patients
First Choice Family Medicine LLC Past Accepting new patients

Locations

13808 AL Highway 227
Geraldine, AL 35974
Phone (256) 659-2000

41263 AL Highway 75
#D
Geraldine, AL 35974
Phone (256) 659-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17031/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.stuart@tgclinic.directbygreenway.com

Organizations & group practices 2

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 2

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1366869125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41263 AL HIGHWAY 75 STE D",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "359743724",
            "telephone_number": "256-659-2000",
            "fax_number": "256-659-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41263 AL HIGHWAY 75 STE D",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "359743724",
            "telephone_number": "256-659-2000",
            "fax_number": "256-659-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1109116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BURGESS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geraldine, AL

Sources for this page

Verify at the official NPI Registry.