Individual provider Active NPI

Amy C Kerley, FNP-C

  • Family Nurse Practitioner
  • Owens Cross Roads, AL
National Provider Identifier
1376212233
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140253 Issued in AL
Practice address
262 Sutton Rd SE
Owens Cross Roads, AL 35763-8753
Phone
(256) 265-0350
Fax
(256) 265-0357
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aderholt Medical, LLC CurrentSince Oct 5, 2021 Accepting new patients
HH Physician Care CurrentSince Apr 1, 2023 Accepting new patients

Locations

1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280

111 S Marion St
Athens, AL 35611
Phone (256) 230-5280

111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280

1207 E Forrest St
#240D
Athens, AL 35613

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

Interoperability endpoints

  • Direct secure messaging: amy.kerley.1@22966.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140253 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

262 Sutton Rd SE
Owens Cross Roads, AL 35763-8753

Mailing address

262 Sutton Rd SE
Owens Cross Roads, AL 35763-8753
Phone (256) 230-0350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2023.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376212233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SUTTON RD SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638753",
            "telephone_number": "256-230-0350",
            "fax_number": "256-265-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SUTTON RD SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638753",
            "telephone_number": "256-265-0350",
            "fax_number": "256-265-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

Verify at the official NPI Registry.