Individual provider Active NPI

Amber Michelle McCollough-Harris, FNP-BC

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1508576554
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-126206 Issued in AL
Practice address
1720 Center St Ste 103
Mobile, AL 36604-3300
Phone
(251) 415-1475
Fax
(251) 415-1476
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-126206 AL Primary
Nurse Practitioner 363L00000X 1-126206 AL

Addresses

Primary practice location

1720 Center St Ste 103
Mobile, AL 36604-3300

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

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
I20230421002660 AL Practitioner - Nurse Practitioner 0840655064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Sep 1, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 2, 2024 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
University of South Alabama Health Care Authority CurrentSince Jun 1, 2023 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Sep 1, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 2, 2024 Accepting new patients

Locations

2419 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 434-3475

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1720 Center St
Ste 103
Mobile, AL 36604
Phone (251) 415-1475

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1508576554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CENTER ST STE 103",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043300",
            "telephone_number": "251-415-1475",
            "fax_number": "251-415-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH-HARRIS",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-126206",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-126206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.