Active NPI
Jaime Leighann Corcoran, NP
- Family Nurse Practitioner
- Decatur, AL
National Provider Identifier
1386259653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-100008
- Practice address
- 2422 Danville Rd SW Ste E
Decatur, AL 35603-4221 - Phone
- (256) 355-9040
- NPI assigned
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-100008 | AL | Primary |
Addresses
Primary practice location
2422 Danville Rd SW Ste E
Decatur, AL 35603-4221
Mailing address
2422 Danville Rd SW Ste E
Decatur, AL 35603-4221
Phone (256) 355-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682
Hospital & facility affiliations
- Yukon Kuskokwim Delta Reg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-100008 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Family Care Inc | Current | Accepting new patients | |
| Advantage Family Care, Inc. | Current | Accepting new patients | |
| Flexcare Infusion Okc, LLC | Past | Accepting new patients | |
| Gill Family Medicine, P.C. | Past | Accepting new patients |
Locations
1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004
900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Florence, AL
- NPI 1023447943
-
- Rural Health Clinic/Center
- Athens, AL
- NPI 1518674936
-
- Family Medicine Physician
- Decatur, AL
- NPI 1144574872
-
- Infusion Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1013480490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1386259653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 DANVILLE RD SW STE E",
"city": "DECATUR",
"state": "AL",
"postal_code": "356034221",
"telephone_number": "256-355-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 DANVILLE RD SW STE E",
"city": "DECATUR",
"state": "AL",
"postal_code": "356034221",
"telephone_number": "256-355-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "JAIME",
"middle_name": "LEIGHANN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-100008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.