Deidra A. Bolton – Primary Care Nurse Practitioner

Key facts

NPI: 1609207273
Entity type: Individual (NPI type 1)
Primary specialty: Primary Care Nurse Practitioner 363LP2300X
License: 1-073608 (AL)
Practice address: 120 Colonial Promenade Pkwy
Alabaster, AL 35007
Phone: (205) 605-0495
Fax: (205) 605-0493
NPI assigned: Dec 9, 2013
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

American Family Care, LLC Primary Care Clinic/Center · Birmingham, AL · NPI 1669429080

Medicare reassignment NPD AL
Signify Health, LLC General Practice Physician · Dallas, TX · NPI 1689158487

Medicare reassignment NPD AL
American Family Care, LLC Family Medicine Physician · Vestavia Hills, AL · NPI 1265210645

NPD

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 70.43 of 100 (group)
Quality: 65.59
Improvement activities: 40
Cost: 64.54

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140521002354	AL	Practitioner - Nurse Practitioner	7214150192	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Registered Nurse, Nurse Practitioner

Practice roles

Organization	Status	New patients
Signify Health, LLC	Current since Jun 1, 2025	Accepting new patients
American Family Care, LLC	Current since Mar 1, 2014	Accepting new patients
American Family Care, LLC	Current since Mar 1, 2014	Accepting new patients

Locations

120 Colonial Promenade Pkwy
Alabaster, AL 35007
Phone (205) 605-0495

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1664 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 409-2794

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Nurse Practitioner	363LP2300X	1-073608	AL	Yes

Addresses

Primary practice location

120 Colonial Promenade Pkwy
Alabaster, AL 35007

Mailing address

120 Colonial Promenade Pkwy
Alabaster, AL 35007
Phone (205) 605-0495

Other providers in Alabaster, AL

All providers in Alabaster, AL · Primary Care Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.