Katelyn Elisabeth Hardeman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2938 Issued in AL

Practice address

2152 Old Springville Rd
Birmingham, AL 35215

Phone

(205) 838-6000

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus-Gadsden Hospice, Southside, AL, CCN 011579

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978

  AL

  Medicare reassignment Care Compare group NPD
• Gadsden Regional Physician Group Practice LLC

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1558506550

  AL

  Medicare reassignment Care Compare group
• Quality Care Consulting LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Anniston, AL
  • NPI 1730036716
  NPD Authorized official
• Gadsden Regional Primary Care LLC

  • Family Medicine Physician
  • Rainbow City, AL
  • NPI 1972566743

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Life Choice Hospice of Alabama LLC

  • Community Based Hospice Care Agency
  • Southside, AL
  • NPI 1982955043

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1679197149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GOODYEAR AVE STE 101",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031133",
            "telephone_number": "256-494-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35215",
            "telephone_number": "205-838-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Goodyear Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359031133",
            "country_code": "US",
            "telephone_number": "256-494-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEMAN",
        "first_name": "KATELYN",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "2938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Harbison, MASTERS
• Harbor Counseling Services LLC
• Ericca R Hardee, MS
• Maris Hardee, MD
• Heather Renee Hardeman, M.A, LPC
• Tammy Hardeman
• Yeshea Harden, RN
• Bailee Hardgrove, RN
• Daniel Hardgrove
• Deanne Lee Hardigree, O.T.

• All providers in Birmingham, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.