Autumn N Mummey, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11180249 Issued in AL

Practice address

6610 Curry Hwy
Jasper, AL 35503-5664

Phone

(205) 878-4800

Fax

(205) 471-7009

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cordova Family Care LLCGroup PAC ID 7719475391, 3 clinicians

Carbon Hill Family Care LLCGroup PAC ID 1951752708, 7 clinicians

Smith Lake Family Care LLCGroup PAC ID 7911319777, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cordova Family Care LLC

  • Family Medicine Physician
  • Cordova, AL
  • NPI 1780567610
  Medicare reassignment Care Compare group NPD Authorized official
• Carbon Hill Family Care LLC

  • Family Medicine Physician
  • Carbon Hill, AL
  • NPI 1255113551
  Medicare reassignment Care Compare group NPD
• Smith Lake Family Care LLC

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1306447776
  Medicare reassignment Care Compare group NPD
• Smith Lake Urgent Care, LLC

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1447499090
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1376000828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-878-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-878-4800",
            "fax_number": "205-471-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMEY",
        "first_name": "AUTUMN",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F11180249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Matthews Mosley I, P.A.
• Jerry V Mosley, M.D.
• Lynn Liberte Mosley, P.T.
• Taylor Alvin Mosley, M.D.
• Mountain Smiles - Jasper Dental PLLC
• Monica Leann Muncher
• Tiffany Murphy
• Joe Charles Murray, RPH
• Dean Robert Naden, DO
• Nathanael Peter Nalbach, CRNA

• Family Nurse Practitioner in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
• 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.

Verify at the official NPI Registry.