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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130712000663 | LA | Practitioner - Physician Assistant | 8820238991 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200573 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Rapides Healthcare System, LLC | Current |
Accepting new patients | |
| Rapides Healthcare System LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- At Home Independent Living Inc.
- Anthony Riley Austin
- Authentic Being, LLC
- Logan Averett
- Rachael Clay Averette
- Derek Layne Babin
- Babytalk Store LLC
- Back to Fitness
- Blake Baggett
- David Clark Bailey Jr.
All providers in Northport, AL · Physician Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.