Individual provider Active NPI

Tara Fern Felton, NP-C/CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1629622980
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-105344 Issued in AL
Practice address
1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone
(334) 284-3105
Fax
(334) 284-3107
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-105344 AL
Family Nurse Practitioner 363LF0000X 1-105344 AL Primary

Addresses

Primary practice location

1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654

Mailing address

1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone (334) 284-3105

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
I20200125000001 AL Practitioner - Nurse Practitioner 7315372117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dothan Medical Associates, P.C.Group PAC ID 7416848247, 17 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 100
Dothan, AL 36301-3023
Phone (334) 794-1148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-105344ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Rheumatology Associates, P.a. CurrentSince Jul 23, 2019 Accepting new patients
Dothan Medical Associates, P.C. CurrentSince Jul 1, 2023 Accepting new patients

Locations

1118 Ross Clark Cir
Ste 100
Dothan, AL 36301
Phone (334) 794-1148

1421 Narrow Lane Pkwy
Montgomery, AL 36111
Phone (334) 284-2105

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.37
  • FHIR API: https://fhir-myrecord.cerner.com/r4/Ju4SLrJ8HE83ty66H2bgjEBnrvB-FIla/
  • Direct secure messaging: tfelton@dmapc.gwaydirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1629622980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-284-3105",
            "fax_number": "334-284-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-284-3105",
            "fax_number": "334-284-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "TARA",
        "middle_name": "FERN",
        "credential": "NP-C/CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-105344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.