Individual provider Active NPI

Jesse Sharp Hailey

  • Family Nurse Practitioner
  • Arab, AL
National Provider Identifier
1508610023
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-176760 Issued in AL
Practice address
20 S Main St
Arab, AL 35016-1394
Phone
(833) 586-2324
NPI assigned
Apr 12, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 1-176760 AL Primary

Addresses

Primary practice location

20 S Main St
Arab, AL 35016-1394

Mailing address

20 S Main St
Arab, AL 35016-1394
Phone (205) 493-1288

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
I20260309002753 AL Practitioner - Nurse Practitioner 6709369762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Care Arab LLCGroup PAC ID 1658671839, 7 clinicians

Practice addresses (Care Compare)

20 S Main St
Arab, AL 35016-1394
Phone (833) 586-2324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-176760ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care Arab LLC CurrentSince Feb 25, 2026 Accepting new patients
Premier Family Care Arab LLC Past Accepting new patients

Locations

20 S Main St
Arab, AL 35016
Phone (256) 586-2324

Organizations & group practices 2

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.

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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1508610023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161394",
            "telephone_number": "205-493-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161394",
            "telephone_number": "833-586-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "JESSE",
        "middle_name": "SHARP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-176760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arab, AL

Sources for this page

Verify at the official NPI Registry.