Individual provider Active NPI

Molly Stephen Cowley Elliott, RN, CRNP

  • Family Nurse Practitioner
  • Vestavia, AL
National Provider Identifier
1407190291
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-132166 Issued in AL
Practice address
8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563
Phone
(205) 968-5988
Fax
(205) 968-5990
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-132166 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563

Mailing address

3686 Grandview Pkwy
Suite 820
Birmingham, AL 35243-3407
Phone (205) 971-3000

Other names 1

  • Miss Molly Stephen Cowley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address molly.elliott.1@9954.direct.athenahealth.com

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
I20121217000081 AL Practitioner - Nurse Practitioner 3870745052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Apr 6, 2015 Accepting new patients
Jefferson County Board of Health CurrentSince Dec 27, 2013 Accepting new patients
Jefferson County Board of Health Current Accepting new patients
Mary Sue Suggs Family Medicine Current Accepting new patients

Locations

3686 Grandview Pkwy
Ste 820
Birmingham, AL 35243
Phone (205) 971-3000

601 West Blvd
Birmingham, AL 35206
Phone (205) 510-3406

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

201 Doug Baker Blvd
Hoover, AL 35242
Phone (205) 408-0700

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

8000 Liberty Pkwy
Ste 114
Vestavia, AL 35242
Phone (205) 968-5988

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: molly.elliott.4@9954.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1407190291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY",
            "address_2": "SUITE 820",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433407",
            "telephone_number": "205-971-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 114",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427563",
            "telephone_number": "205-968-5988",
            "fax_number": "205-968-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MOLLY",
        "middle_name": "STEPHEN COWLEY",
        "name_prefix": "Mrs.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-132166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly.elliott.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Parkway",
            "address_2": "Suite 820",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "COWLEY",
            "middle_name": "STEPHEN",
            "prefix": "MISS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.