Individual provider Active NPI

Asia Dutton

  • Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1457960635
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-122234 Issued in AL
Practice address
606A Boll Weevil Cir
Enterprise, AL 36330-2734
Phone
(334) 650-6078
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 1-122234 AL Primary

Addresses

Primary practice location

606A Boll Weevil Cir
Enterprise, AL 36330-2734

Mailing address

606A Boll Weevil Cir
Enterprise, AL 36330-2734

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
I20210120003385 AL Practitioner - Nurse Practitioner 0244644987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

847 W Bypass
Suite a
Andalusia, AL 36420-4747
Phone (334) 428-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Sep 9, 2020 Accepting new patients
Andalusia Physician Practices LLC CurrentSince Apr 4, 2022 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
American Family Care, LLC CurrentSince Sep 9, 2020 Accepting new patients
Andalusia Physician Practices LLC Nurse Practitioner CurrentSince Apr 4, 2022 Accepting new patients

Locations

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

847 W Bypass
Ste A
Andalusia, AL 36420
Phone (334) 222-1366

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466

606 Boll Weevil Cir
#A
Enterprise, AL 36330
Phone (334) 475-2462

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1965 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 323-1330

Interoperability endpoints

  • Direct secure messaging: asia.dutton.1@19364.direct.athenahealth.com

Organizations & group practices 5

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1457960635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606A BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606A BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302734",
            "telephone_number": "334-650-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "ASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-122234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.