Individual provider Active NPI

Tammy Lynn Pugh, ACNP

  • Acute Care Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1487672465
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-090544 Issued in AL
Practice address
3 Mobile Infirmary Cir Ste 305
Building B, Suite 118
Mobile, AL 36607-3515
Phone
(251) 435-7328
Fax
(251) 433-5558
NPI assigned
Jul 17, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-090544 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir Ste 305
Building B, Suite 118
Mobile, AL 36607-3515

Mailing address

3 Mobile Infirmary Cir Ste 305
Building B, Suite 118
Mobile, AL 36607-3515
Phone (251) 435-7328

Other identifiers 1

IdentifierTypeStateIssuer
51511597OtherALBLUE CROSS

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
I20050928000548 AL Practitioner - Nurse Practitioner 1759316813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Circle
Suite 305
Mobile, AL 36607-3584
Phone (251) 433-5557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-090544ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cancer Surgery of Mobile, LLC CurrentSince May 1, 2017 Accepting new patients

Locations

188 Hospital Dr
Ste 205
Fairhope, AL 36532
Phone (251) 990-3701

3 Mobile Infirmary Cir
Ste 305
Mobile, AL 36607
Phone (251) 433-5557

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

Interoperability endpoints

  • Direct secure messaging: tpugh67057@directinfirmaryhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1487672465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 305",
            "address_2": "BUILDING B, SUITE 118",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073515",
            "telephone_number": "251-435-7328",
            "fax_number": "251-433-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 305",
            "address_2": "BUILDING B, SUITE 118",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073515",
            "telephone_number": "251-435-7328",
            "fax_number": "251-433-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-090544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51511597",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.