Stacy Gallop, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-122001 Issued in AL

Practice address

1050 Convalescent Rd
Vernon, AL 35592-4823

Phone

(205) 431-3006

Fax

(205) 695-9820

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Generations Professional Services, LLC

  • Gerontology Nurse Practitioner
  • Vernon, AL
  • NPI 1184131690
  Medicare reassignment NPD
• Jlbmd Consulting, PC

  • Family Medicine Physician
  • Reform, AL
  • NPI 1003449869
  Medicare reassignment NPD
• Jlbmd Consulting, PC

  dba Novus Pickens Co

  • Neurology Physician
  • Reform, AL
  • NPI 1750028601
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1487373148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONVALESCENT RD",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355924823",
            "telephone_number": "205-695-9313",
            "fax_number": "205-695-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONVALESCENT RD",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355924823",
            "telephone_number": "205-431-3006",
            "fax_number": "205-695-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOP",
        "first_name": "STACY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Farrell Durham Jr., D.PH.
• Susan Ray Durham, D.PH.
• Emergystat of Sulligent
• Emi Madison Boutique
• Encore Rehabilitation, Inc. (Encore Rehab of Vernon)
• Generations of Vernon, LLC
• Generations Professional Services, LLC
• Angela Lea Carroll Glasgow, CRNP
• Hospital Discount Apothecary, Inc
• Innerfit of Tuscaloosa, Inc. (Innerfit of Vernon)

• Family Nurse Practitioner in Vernon, AL
• Providers in Vernon, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.