Active NPI
Hannah J. Maddox, CRNP
- Family Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-083792
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health LLC | Current | Accepting new patients | |
| Crenshaw County Health Care Authority | Current | 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
- 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.
-
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
- NPI 1407257447
-
- Critical Access Hospital
- Luverne, AL
- NPI 1750480406
-
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.