Individual provider Active NPI

Jeffrey Drue Singleton, FNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1396109070
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0616615 Issued in AL
Practice address
3851 Bienville Rd
Montgomery, AL 36109-4545
Phone
(334) 244-6966
NPI assigned
Apr 8, 2016
Last updated
Jun 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0616615 AL Primary
Registered Nurse 163W00000X 1-070325 AL

Addresses

Primary practice location

3851 Bienville Rd
Montgomery, AL 36109-4545

Mailing address

3851 Bienville Rd
Montgomery, AL 36109-4545
Phone (334) 244-6966

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
I20161017000819 AL Practitioner - Nurse Practitioner 3375831845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-070325ALMDRegistered Nurse
F0616615ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wetumpka Urgent Care LLC CurrentSince Feb 24, 2024 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Apr 17, 2024 Accepting new patients
Chilton Family Care, LLC CurrentSince Jul 5, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Apr 17, 2024 Accepting new patients
Emergency Services of Montgomery PC CurrentSince Aug 1, 2016 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Organizations & group practices 6

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 1

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1396109070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 BIENVILLE RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094545",
            "telephone_number": "334-244-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 BIENVILLE RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094545",
            "telephone_number": "334-244-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "JEFFREY",
        "middle_name": "DRUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F0616615",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-070325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.