Active NPI
Antoinette Spellmon, CRNP
- Family Nurse Practitioner
- Pell City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-156762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Birmingham Internal Medicine Associates, LLC | Family | Current | Accepting new patients |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
AL
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
AL, Family
-
- Oral and Maxillofacial Surgery (Dentist)
- Birmingham, AL
- NPI 1720761554
-
- Clinical Medical Laboratory
- Birmingham, AL
- NPI 1366638330
-
- Prosthetic/Orthotic Supplier
- Birmingham, AL
- NPI 1841380086
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1861645798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.