Individual provider Active NPI

Carol Denise Edge, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1649801598
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-084327 Issued in AL
Practice address
34 Taylor Rd N
Montgomery, AL 36117-6753
Phone
(334) 323-1510
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-084327 AL Primary

Addresses

Primary practice location

34 Taylor Rd N
Montgomery, AL 36117-6753

Mailing address

1310 County Road 85
Prattville, AL 36067-6863
Phone (334) 221-5500

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
I20201223000927 AL Practitioner - Nurse Practitioner 0244642866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-084327ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Nov 30, 2022 Accepting new patients
American Family Care, LLC CurrentSince Aug 22, 2020 Accepting new patients
American Family Care, LLC CurrentSince Aug 22, 2020 Accepting new patients
Matthew G Freeman MD LLC PastSince Mar 1, 2021 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

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

2570 Berryhill Rd
Montgomery, AL 36117
Phone (334) 323-1330

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

34 Taylor Rd N
Montgomery, AL 36117
Phone (334) 272-7639

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 5

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1649801598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COUNTY ROAD 85",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360676863",
            "telephone_number": "334-221-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TAYLOR RD N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176753",
            "telephone_number": "334-323-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-084327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.