Individual provider Active NPI

Abby Ozment Goolsby, CRNP

  • Adult Health Nurse Practitioner
  • Pelham, AL
National Provider Identifier
1407328123
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-148800 Issued in AL
Practice address
30 Racquet Club Pkwy
Pelham, AL 35124-6185
Phone
(205) 620-1090
Fax
(205) 620-1153
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-148800 AL
Adult Health Nurse Practitioner 363LA2200X 1-148800 AL Primary

Addresses

Primary practice location

30 Racquet Club Pkwy
Pelham, AL 35124-6185

Mailing address

549 Edgecrest Dr
Homewood, AL 35209-5909
Phone (147) 827-9151

Other practice location 1

500 22nd St S
Birmingham, AL 35233-3110
Phone (205) 801-8322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aozment@direct.uabmedicine.org Direct University of Alabama Hospital

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
I20190318002103 AL Practitioner - Nurse Practitioner 6103166780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-148800ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Oct 1, 2019 Accepting new patients
Vincentian Physician Services LLC CurrentSince Oct 14, 2020 Accepting new patients
Baptist Health Centers LLC CurrentSince Oct 1, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

800 Lakeshore Dr
Birmingham, AL 35229
Phone (205) 726-2011

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

2801 Highway 280 S
Birmingham, AL 35223
Phone (205) 268-3265

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

619 19th St S
Birmingham, AL 35249

30 Racquet Club Pkwy
Pelham, AL 35124
Phone (205) 620-1085

Interoperability endpoints

  • Direct secure messaging: abby.goolsby.1@9069.direct.athenahealth.com
  • Direct secure messaging: aozment@direct.uabmedicine.org

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 2

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1407328123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 EDGECREST DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095909",
            "telephone_number": "147-827-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RACQUET CLUB PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246185",
            "telephone_number": "205-620-1090",
            "fax_number": "205-620-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 22nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-801-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "ABBY",
        "middle_name": "OZMENT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-148800",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-148800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aozment@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 22nd St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352333110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.