Individual provider Active NPI

Elva Calderon

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1679012629
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-110409 Issued in AL
Practice address
1736 E Main St Ste 100
Dothan, AL 36301-3040
Phone
(334) 712-9999
Fax
(334) 702-2119
NPI assigned
Feb 22, 2017
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-110409 AL Primary
Family Nurse Practitioner 363LF0000X ARNP9337614 FL

Addresses

Primary practice location

1736 E Main St Ste 100
Dothan, AL 36301-3040

Mailing address

PO Box 678402
Dallas, TX 75267-8402
Phone (334) 712-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20170605002985 AL Practitioner - Nurse Practitioner 5496022998 Reassigns benefits to 6 organizations
I20250211003903 FL Practitioner - Nurse Practitioner 5496022998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
Gregg Soifer MD LLCGroup PAC ID 6901044023, 5 clinicians

Practice addresses (Care Compare)

1026 Boll Weevil Circle
Enterprise, AL 36330-1317
Phone (251) 444-4670

1026 S Eufaula Ave
Eufaula, AL 36027-2702
Phone (334) 689-4025

1680 Montgomery Hwy
Hoover, AL 35216-4906
Phone (205) 979-0888

1925 W Main St
Suite 120
Centre, AL 35960-2835
Phone (256) 677-4552

3071 S Oates St
Dothan, AL 36301-5606
Phone (334) 500-5044

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

4465 Narrow Lane Rd
Montgomery, AL 36116-2953
Phone (334) 712-9999

9932 Spanish Fort Blvd
Daphne, AL 36527-6052
Phone (251) 237-8181

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9337614FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Florida, LLC CurrentSince Oct 18, 2024 Accepting new patients
American Family Care, LLC CurrentSince Mar 31, 2019 Accepting new patients
American Family Care, LLC CurrentSince Mar 31, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 19, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2024 Accepting new patients
American Family Care, LLC Current Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
Skye Consultorio Medico LLC CurrentSince Jul 9, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 19, 2025 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 8, 2018 Accepting new patients
Gregg Soifer, MD, LLC PastSince Aug 7, 2022 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

9932 Spanish Fort Blvd
Daphne, AL 36527
Phone (251) 237-8181

3813 Ross Clark Cir
Ste 3
Dothan, AL 36303
Phone (334) 479-0505

3813 Ross Clark Cir
Ste 300
Dothan, AL 36303
Phone (334) 479-0505

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

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

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

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

8780 Moffett Rd
Semmes, AL 36575
Phone (251) 237-8161

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1679012629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678402",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678402",
            "telephone_number": "334-712-9999",
            "fax_number": "334-702-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E MAIN ST STE 100",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013040",
            "telephone_number": "334-712-9999",
            "fax_number": "334-702-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "ELVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110409",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9337614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.