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

Individual provider Active NPI Physician Assistant · Northport, AL

NPI 1487907952 · NPPES record last updated Jul 31, 2014

Key facts

NPI
1487907952
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
200573 (LA)
Practice address
2700 Hospital Dr
Northport, AL 35476-3360
Phone
(337) 208-2243
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130712000663 LA Practitioner - Physician Assistant 8820238991 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200573LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care LLC Current
since Oct 1, 2017
Accepting new patients
Rapides Healthcare System, LLC Current
since May 12, 2014
Accepting new patients
Rapides Healthcare System LLC Current
since May 12, 2014
Accepting new patients
Calcasieu Urgent Care, LLC Current
since Oct 1, 2017
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

Specialties & licenses

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

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

Other providers in Northport, AL

All providers in Northport, AL · Physician Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.