Zachary Blake Gentry

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-152297 Issued in AL

Practice address

307 Main St SW
Hanceville, AL 35077-5476

Phone

(256) 352-4767

Fax

(256) 352-4797

NPI assigned

Sep 9, 2019

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Male

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, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accurx Infusion Center LLCGroup PAC ID 6305101908, 6 clinicians

Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Accurx Infusion Center, LLC

  • Nurse Practitioner
  • Hoover, AL
  • NPI 1922515568
  Medicare reassignment Care Compare group NPD
• Palmetto Infusion Services LLC

  dba Palmetto Infusion Services

  • Infusion Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1265462659

  NC

  Medicare reassignment Care Compare group NPD
• Southview Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Hanceville, AL
  • NPI 1033554357
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Obelisk Healthcare

  • Health Service Clinic/Center
  • Montgomery, AL
  • NPI 1841472529
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1669021093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 DOSS FERRY LN",
            "city": "KIMBERLY",
            "state": "AL",
            "postal_code": "350912030",
            "telephone_number": "256-620-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST SW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775476",
            "telephone_number": "256-352-4767",
            "fax_number": "256-352-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "ZACHARY",
        "middle_name": "BLAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-152297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Wade Dube, DMD
• Edmondson Drug Company Inc (Lakeside Pharmacy)
• Charlotte M Edmondson, PHARM D
• Ashley Frey, CRNP
• Eileen M Gallagher, DO
• Whitney Lauren Greene, M.S. CCC-SLP
• Hanceville Acute Care and Wellness Center, LLC
• Hanceville Drug Company
• Hanceville Nursing & Rehab Center Inc.
• Hanceville Primary Healthcare, LLC

• Nurse Practitioner in Hanceville, AL
• Providers in Hanceville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.