Individual provider Active NPI

Carla Melton Roberts, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1477950830
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-078221 Issued in AL
Practice address
801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone
(205) 780-4330
Fax
(205) 780-7775
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1-078221 AL Primary

Addresses

Primary practice location

801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395

Mailing address

801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone (205) 780-4330

Other identifiers 1

IdentifierTypeStateIssuer
369625MedicaidAL

Other names 1

  • Carla Wilbourn Former name

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
I20191111001656 AL Practitioner - Nurse Practitioner 0042642126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allervie Health, Professional CorporationGroup PAC ID 1254358310, 15 clinicians

Practice addresses (Care Compare)

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-078221ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allervie Health Professional Corporation CurrentSince Nov 1, 2024 Accepting new patients
Cardiology , PC CurrentSince Oct 1, 2025 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Mar 19, 2024 Accepting new patients
Nephrology Medical Associates of Georgia LLC PastSince Oct 1, 2025 Accepting new patients
Premier Allergist of Florida LLC PastSince Nov 1, 2024 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

801 Princeton Ave SW
Ste 707
Birmingham, AL 35211
Phone (205) 780-4330

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

504 Brookwood Blvd
Homewood, AL 35209
Phone (205) 209-4121

2100 Data Park
Ste 200
Hoover, AL 35244
Phone (205) 209-4115

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477950830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111395",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111395",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CARLA",
        "middle_name": "MELTON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-078221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369625",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "WILBOURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.