Andrea Sport Poole, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-137525 Issued in AL

Practice address

1412 Elba Hwy
Troy, AL 36079-6020

Phone

(334) 566-8822

Fax

(334) 670-2081

NPI assigned

Jun 8, 2015

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.poole@sarha.eclinicaldirectplus.com

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.

• Southeast Alabama Rural Health Associates

  dba Enterprise Children's Center & Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment Care Compare group NPD
• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Troy, AL
  • NPI 1043220585
  NPD
• Southeast Alabama Rural Health Associates

  dba Andalusia Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Premise Health of Alabama Medical PC

  dba Shaw Family Health Center Andalusia

  • Multi-Specialty Clinic/Center
  • Andalusia, AL
  • NPI 1508470899
  NPD (past)
• Southeast Alabama Rural Health Associates

  dba Dozier Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Dozier, AL
  • NPI 1063573301

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  dba Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1538549217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-566-8822",
            "fax_number": "334-670-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ANDREA",
        "middle_name": "SPORT",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Publix Alabama LLC (Publix Pharmacy #1525)
• Joyce Waters Purvis, CRNP

• Family Nurse Practitioner in Troy, AL
• Providers in Troy, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.