NPIMap

Individual provider Active NPI

Lester Sutton Jr., NP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1689976870
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-110995 Issued in AL
Practice address
440 Taylor Rd
Suite 3380
Montgomery, AL 36117-3588
Phone
(334) 213-6287
Fax
(334) 213-6288
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-110995 AL Primary

Addresses

Primary practice location

440 Taylor Rd
Suite 3380
Montgomery, AL 36117-3588

Mailing address

440 Taylor Rd
Suite 3380
Montgomery, AL 36117-3588
Phone (334) 213-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000380 AL Practitioner - Nurse Practitioner 5092945824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital IncGroup PAC ID 2062408487, 15 clinicians

Practice addresses (Care Compare)

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0551

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

80 Herren Hill Rd
Tallassee, AL 36078-1264

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
Community Hospital Inc CurrentSince Jul 3, 2018 Accepting new patients
Nes Tennessee Inc Acute Care Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2014 Accepting new patients
Community Hospital Inc CurrentSince Jul 3, 2018 Accepting new patients
Montgomery Baptist Outreach Services Corporation Past Accepting new patients
Montgomery Baptist Outreach Services Corporation Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

80 Herren Hill Rd
Ste F
Tallassee, AL 36078
Phone (334) 283-3896

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: lester.suttonhps@direct.baptistfirst.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1689976870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 TAYLOR RD",
            "address_2": "SUITE 3380",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173588",
            "telephone_number": "334-213-6287",
            "fax_number": "334-213-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 TAYLOR RD",
            "address_2": "SUITE 3380",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173588",
            "telephone_number": "334-213-6287",
            "fax_number": "334-213-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "LESTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-110995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.