Individual provider Active NPI

Cathy Pitts

  • Family Nurse Practitioner
  • Dadeville, AL
National Provider Identifier
1508314865
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-037826 Issued in AL
Practice address
301 Mariarden Rd
Suite D
Dadeville, AL 36853-6254
Phone
(256) 825-7871
Fax
(256) 825-7871
NPI assigned
Sep 15, 2016
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-037826 AL Primary

Addresses

Primary practice location

301 Mariarden Rd
Suite D
Dadeville, AL 36853-6254

Mailing address

301 Mariarden Rd
Suite D
Dadeville, AL 36853-6254
Phone (256) 825-7871

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
I20170519001381 AL Practitioner - Nurse Practitioner 5991072076 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Creek Family Care of Lake MartinGroup PAC ID 6103281977, 17 clinicians

Practice addresses (Care Compare)

5959 Hwy 49 S
Unit K
Dadeville, AL 36853-6745
Phone (256) 825-7871

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Apr 14, 2018 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Mar 21, 2017 Accepting new patients
Chilton Family Care, LLC CurrentSince Mar 21, 2017 Accepting new patients
Russell Hospital Corporation CurrentSince Oct 12, 2018 Accepting new patients
Nes Tennessee Inc Family Current Accepting new patients
Ivy Creek of Elmore LLC CurrentSince Oct 30, 2018 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 30, 2018 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Jul 16, 2023 Accepting new patients
Russell Hospital Corporation CurrentSince Oct 12, 2018 Accepting new patients
Ivy Creek of Tallapoosa CurrentSince Mar 21, 2017 Accepting new patients
Nes Tennessee Inc CurrentSince Apr 14, 2018 Accepting new patients
Ivy Creek of Tallapoosa LLC Current Accepting new patients
Ivy Creek of Tallapoosa, LLC CurrentSince Mar 21, 2017 Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

3504 Highway 280
Alexander City, AL 35010
Phone (256) 329-7887

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

301 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-7871

301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1508314865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "address_2": "SUITE D",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "256-825-7871",
            "fax_number": "256-825-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "address_2": "SUITE D",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "256-825-7871",
            "fax_number": "256-825-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "CATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-037826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dadeville, AL

Sources for this page

Verify at the official NPI Registry.