Individual provider Active NPI

Carrie Little Carroll, CRNP

  • Family Nurse Practitioner
  • Troy, AL
National Provider Identifier
1639793334
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143360 Issued in AL
Practice address
1412 Elba Hwy
Troy, AL 36079-6020
Phone
(334) 566-8822
Fax
(334) 808-8942
NPI assigned
May 29, 2020
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 1-143360 AL Primary

Addresses

Primary practice location

1412 Elba Hwy
Troy, AL 36079-6020

Mailing address

1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726

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
I20200917000938 AL Practitioner - Nurse Practitioner 1355769761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1412 Elba Hwy
Troy, AL 36079-6020
Phone (334) 566-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-143360ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alabama Rural Health Associates CurrentSince Aug 16, 2021 Accepting new patients
Southeast Alabama Rural Health Associates CurrentSince Aug 16, 2021 Accepting new patients
Southeast Alabama Rural Health Associates Current Accepting new patients
Ivycreek of Elmore LLC PastSince Dec 28, 2020 Accepting new patients

Locations

1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814

1414 Elba Hwy
Troy, AL 36079
Phone (334) 670-6726

Interoperability endpoints

  • Direct secure messaging: carrie.carroll.1@3503.direct.athenahealth.com
  • Direct secure messaging: carrie.carroll@sarha.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFGBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1639793334",
    "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": "334-808-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CARRIE",
        "middle_name": "LITTLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.