Individual provider Active NPI

Todd K Pridmore, CRNP

  • Adult Health Nurse Practitioner
  • Madison, AL
National Provider Identifier
1376097113
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-136010 Issued in AL
Practice address
8371 Highway 72 W Ste 204
Madison, AL 35758-9505
Phone
(256) 801-5977
Fax
(256) 517-5926
NPI assigned
Aug 10, 2016
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-136010 AL Primary

Addresses

Primary practice location

8371 Highway 72 W Ste 204
Madison, AL 35758-9505

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 801-6056

Other practice location 1

1874 Beltline Rd SW Ste 100
Decatur, AL 35601-5514
Phone (256) 817-5977

Other practice location 2

3500 Memorial Parkway SW
Huntsville, AL 35801-5318
Phone (256) 213-1800

Other practice location 3

927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 539-2728

Other practice location 4

550 Sun Temple Drive
Madison, AL 35758
Phone (256) 213-1800

Other practice location 5

420 Lowell Dr SE Fl 5
Huntsville, AL 35801-3754
Phone (256) 265-5864

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
I20160926000762 AL Practitioner - Nurse Practitioner 0941597512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

8371 Hwy 72 W
Suite 204
Madison, AL 35758-9505
Phone (256) 265-5864

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-136010ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Dec 15, 2023 Accepting new patients
Alabama Institute for Sleep Health, LLC CurrentSince Feb 1, 2024 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Dec 15, 2023 Accepting new patients
HH Physicians Network CurrentSince Feb 22, 2024 Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Locations

1803 Park View Dr
Cullman, AL 35058
Phone (256) 737-8000

1874 Beltline Rd SW
Ste 100
Decatur, AL 35601
Phone (205) 514-2513

420 Lowell Dr SE
Fl 5
Huntsville, AL 35801
Phone (256) 817-5977

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

8371 Highway 72 W
Ste 204
Madison, AL 35758
Phone (256) 351-6154

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 5

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1376097113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-801-6056",
            "fax_number": "256-801-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 HIGHWAY 72 W STE 204",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589505",
            "telephone_number": "256-801-5977",
            "fax_number": "256-517-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1874 Beltline Rd SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015514",
            "country_code": "US",
            "telephone_number": "256-817-5977",
            "fax_number": "256-817-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 MEMORIAL PARKWAY SW",
            "address_purpose": "LOCATION",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015318",
            "country_code": "US",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Franklin St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014306",
            "country_code": "US",
            "telephone_number": "256-539-2728",
            "fax_number": "256-539-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Sun Temple Drive",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "35758",
            "country_code": "US",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Lowell Dr SE Fl 5",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013754",
            "country_code": "US",
            "telephone_number": "256-265-5864",
            "fax_number": "256-265-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDMORE",
        "first_name": "TODD",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-136010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.