Individual provider Active NPI

Hannah J. Maddox, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1669837845
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-083792 Issued in AL
Practice address
1300 Bessemer Rd
Birmingham, AL 35208-4326
Phone
(205) 923-5555
Fax
(205) 923-5566
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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 1-083792 AL Primary

Addresses

Primary practice location

1300 Bessemer Rd
Birmingham, AL 35208-4326

Mailing address

6085 Old Tuscaloosa Hwy
MC Calla, AL 35111-3509
Phone (205) 531-1911

Other names 1

  • Miss Hannah J. Moultry Former name

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
I20180123001516 AL Practitioner - Nurse Practitioner 8224397120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

575 Southland Dr
Hoover, AL 35226-3732
Phone (205) 343-7300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC CurrentSince Jun 25, 2025 Accepting new patients
Crenshaw County Health Care Authority CurrentSince Nov 5, 2025 Accepting new patients

Locations

850 9th St NW
Alabaster, AL 35007
Phone (205) 663-1338

5275 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 489-6800

58 Roy Beall Dr
Luverne, AL 36049
Phone (334) 335-1212

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

1130 Hale St
Oxford, AL 36203
Phone (256) 831-0481

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1669837845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6085 OLD TUSCALOOSA HWY",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113509",
            "telephone_number": "205-531-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084326",
            "telephone_number": "205-923-5555",
            "fax_number": "205-923-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "HANNAH",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-083792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MOULTRY",
            "middle_name": "J.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.