Individual provider Active NPI

Charles Thornton, NURSE PRACTITIONER

  • Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1447631692
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-113277 Issued in AL
Practice address
503 Clark St NE
Cullman, AL 35055-1921
Phone
(256) 739-4131
NPI assigned
Jun 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-113277 AL Primary

Addresses

Primary practice location

503 Clark St NE
Cullman, AL 35055-1921

Mailing address

1800 Al Highway 157 Ste 303
Cullman, AL 35058-1273
Phone (256) 775-1090

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
I20150717000595 AL Practitioner - Nurse Practitioner 3678886819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Cullman, AL 35058-0689
Phone (256) 737-2100

Hospital & facility affiliations

  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-113277ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, LLC Current Accepting new patients
Cullman Internal Medicine, PC CurrentSince Dec 8, 2023 Accepting new patients
Huntsville Hospital Spine and Neuro Center Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1803 Park View Dr
Cullman, AL 35058
Phone (256) 737-8000

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

1635 Highway 31 NW
Ste C
Hartselle, AL 35640
Phone (256) 733-0110

1635 Highway 31 NW
Hartselle, AL 35640
Phone (256) 735-5965

Organizations & group practices 3

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1447631692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 303",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-775-1090",
            "fax_number": "256-736-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CHARLES",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-113277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.