Active NPI
Kayela Norris, PA
- Physician Assistant
- Jasper, AL
National Provider Identifier
1508538117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3400 Highway 78 E
Jasper, AL 35501-8956 - Phone
- (205) 387-4000
- NPI assigned
- Oct 1, 2021
- Last updated
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | PENDING | AL | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3400 Highway 78 E
Jasper, AL 35501-8956
Mailing address
12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone (205) 442-5055
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | AL | MD | Clinical Psychologist |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Talladega, AL
- NPI 1477708857
-
- Emergency Medicine Physician
- Northport, AL
- NPI 1699261149
-
- Emergency Medicine Physician
- Tuscaloosa, AL
- NPI 1619463163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1508538117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 MILESTONE CENTER DR STE 200",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767111",
"telephone_number": "205-442-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355018956",
"telephone_number": "205-387-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "KAYELA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "PENDING",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
- Mabeth Nix, MS
- Nna of Alabama, Inc. (RCG Walker)
- No Limits Therapy, LLC
- Lashunda Nolden, MS
- Apryl Christine Norris, CRNP
- Leah Norris, BS
- Northland Hearing Centers, Inc. (Pattillo Balance & Hearing Center)
- Northwest Alabama Mental Health Center
- Northwest Alabama Mental Health Center
- Northwest Alabama Mental Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.