Individual provider Active NPI

Margaret Elaine Backstrom, FNP-C

  • Family Nurse Practitioner
  • Lanett, AL
National Provider Identifier
1396589420
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-001849 Issued in AL
Practice address
702 S 13TH St
Lanett, AL 36863-2834
Phone
(334) 644-3111
NPI assigned
Jun 24, 2024
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 3-001849 AL Primary
Family Nurse Practitioner 363LF0000X APRNNP263766 GA

Addresses

Primary practice location

702 S 13TH St
Lanett, AL 36863-2834

Mailing address

3090 Hopewell Rd
Valley, AL 36854-6109
Phone (706) 518-5441

Other practice location 1

1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Phone (888) 341-3236

Other names 1

  • Margaret Elaine Bradley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240805003406 AL Practitioner - Nurse Practitioner 9537606769 Reassigns benefits to 1 organization
I20250301000160 GA Practitioner - Nurse Practitioner 9537606769 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Union Emergency Medical Services, LLCGroup PAC ID 8224308770, 26 clinicians

Practice addresses (Care Compare)

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-001849ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Aug 1, 2025 Accepting new patients
Curana Health of Alabama LLC CurrentSince Jul 31, 2024 Accepting new patients
Southland Union Emergency Medical Services, LLC CurrentSince Jul 1, 2025 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Infinite Medical PC CurrentSince Dec 29, 2024 Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1396589420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 HOPEWELL RD",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368546109",
            "telephone_number": "706-518-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S 13TH ST",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368632834",
            "telephone_number": "334-644-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Highway 34 E Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656416",
            "country_code": "US",
            "telephone_number": "888-341-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKSTROM",
        "first_name": "MARGARET",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001849",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRNNP263766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "BRADLEY",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lanett, AL

Sources for this page

Verify at the official NPI Registry.