Active NPI
Todd K Pridmore, CRNP
- Adult Health Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-136010
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-136010 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed Orthopaedic Specialists | Current | Accepting new patients | |
| Alabama Institute for Sleep Health, LLC | Current | Accepting new patients | |
| Sportsmed Orthopaedic Specialists, PC | Current | Accepting new patients | |
| HH Physicians Network | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Past | 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
- 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.
-
- Specialist
- Huntsville, AL
- NPI 1891359683
-
- Sleep Medicine (Internal Medicine) Physician
- Cullman, AL
- NPI 1548902299
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1508947839
-
- Orthopaedic Surgery Physician
- Athens, AL
- NPI 1790826816
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Decatur Morgan Hospital-Decatur Campus
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
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
- Premier Group LLC (Premier Group Home)
- Premiere Dental Spa at Madison
- Premise Health of Alabama Medical PC (Mazda Toyota Manufacturing)
- Isaiah Haxton Prevatt
- Sarah Elizabeth Price, CCC-SLP
- Taylor L Pritchett, RBT
- Progressivehealth Healthspot, LLC (YKTA HealthSpot)
- Tommy Scott Pruitt, RPT
- Publix Alabama LLC (Publix Pharmacy #1642)
- Publix Alabama LLC (Publix Pharmacy #1726)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.