Individual provider Active NPI

Antoinette Spellmon, CRNP

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1477028744
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-156762 Issued in AL
Practice address
70 Plaza Dr
Pell City, AL 35125-9314
Phone
(205) 814-9284
Fax
(205) 814-9626
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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 1-156762 AL Primary

Addresses

Primary practice location

70 Plaza Dr
Pell City, AL 35125-9314

Mailing address

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-9284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190115002901 AL Practitioner - Nurse Practitioner 4587900337 Reassigns benefits to 5 organizations
I20250415000361 KY Practitioner - Nurse Practitioner 4587900337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Signify Health, LLC CurrentSince Jun 11, 2021 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Dec 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Nov 19, 2019 Accepting new patients
American Family Care, LLC CurrentSince Nov 19, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 23, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

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

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

5892 Trussville Crossings Pkwy
Trussville, AL 35235
Phone (205) 228-0080

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: aspellmon@direct.uabmedicine.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1477028744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-814-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-814-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMON",
        "first_name": "ANTOINETTE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-156762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.