Individual provider Active NPI

Karra Porter Aymond, MPAS, P.A.-C

  • Physician Assistant
  • Northport, AL
National Provider Identifier
1487907952
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200573 Issued in LA
Practice address
2700 Hospital Dr
Northport, AL 35476-3360
Phone
(337) 208-2243
NPI assigned
Oct 22, 2012
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200573 LA Primary

Addresses

Primary practice location

2700 Hospital Dr
Northport, AL 35476-3360

Mailing address

3740 64TH St NE
Tuscaloosa, AL 35406-1410
Phone (337) 208-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130712000663 LA Practitioner - Physician Assistant 8820238991 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200573LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System LLC CurrentSince May 12, 2014 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Oct 1, 2017 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Oct 1, 2017 Accepting new patients
Rapides Healthcare System, LLC CurrentSince May 12, 2014 Accepting new patients
GPN-Leesville, LLC Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1487907952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 64TH ST NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061410",
            "telephone_number": "337-208-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOSPITAL DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763360",
            "telephone_number": "337-208-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYMOND",
        "first_name": "KARRA",
        "middle_name": "PORTER",
        "name_prefix": "Mrs.",
        "credential": "MPAS, P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.