Individual provider Active NPI

Kelley Nevels

  • Family Nurse Practitioner
  • Pelham, AL
National Provider Identifier
1477375269
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-002020 Issued in AL
Practice address
300 Big Mountain Cir
Pelham, AL 35124-4102
Phone
(205) 644-8289
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 3-002020 AL Primary

Addresses

Primary practice location

300 Big Mountain Cir
Pelham, AL 35124-4102

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5088

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
I20241226000066 AL Practitioner - Nurse Practitioner 9133656523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

2201 32ND St
Northport, AL 35476-5230
Phone (205) 343-7300

Mainstreet Family Urgent Care
300 Big Mountain Rd
Pelham, AL 35124
Phone (251) 236-4026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince Nov 3, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 12, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 12, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

2201 McFarland Blvd
Northport, AL 35476
Phone (205) 339-3000

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

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.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1477375269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIG MOUNTAIN CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244102",
            "telephone_number": "205-644-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVELS",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.