Amy Starling Pridemore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-123553 Issued in AL

Practice address

295 S Jackson St
Grove Hill, AL 36451-3231

Phone

(251) 275-3173

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Village Urgent CareGroup PAC ID 5890140974, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
• FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

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.

• Village Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1053093682
  Medicare reassignment Care Compare group NPD
• Grove Hill Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Grove Hill, AL
  • NPI 1316997430
  Medicare reassignment NPD
• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1073685483
  Medicare reassignment NPD
• Grove Hill Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Grove Hill, AL
  • NPI 1396796611
  NPD
• The East Alabama Health Care Authority

  • Community/Retail Pharmacy
  • Opelika, AL
  • NPI 1215089305
  NPD
• Auburn University

  • Health Service Clinic/Center
  • Montgomery, AL
  • NPI 1376836163
  NPD (past)
• Emergency Medicine South

  • Emergency Medical Services (Emergency Medicine) Physician
  • Opelika, AL
  • NPI 1629120712
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1407470396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513231",
            "telephone_number": "251-275-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513231",
            "telephone_number": "251-275-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDEMORE",
        "first_name": "AMY",
        "middle_name": "STARLING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-123553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Paul
• Robert D. Paul, PT
• Physicians Care of Clarke
• Physicians Care of Grove Hill LLC
• Pine Belt Dental LLC
• Dinah Pritchett, CRNP
• Kenishia Pritchett, ALC
• Lakendra Shaunte Pugh
• Gena Richardson
• Lakedra Rodgers

• Family Nurse Practitioner in Grove Hill, AL
• Providers in Grove Hill, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.