Individual provider Active NPI

Angela Pruitt Durham, N.P.

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1699862474
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN180719NP Issued in GA
Practice address
1650 Slaughter Rd Ste a
Madison, AL 35758-8610
Phone
(256) 325-3646
Fax
(256) 325-3647
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 RN180719NP GA Primary

Addresses

Primary practice location

1650 Slaughter Rd Ste a
Madison, AL 35758-8610

Mailing address

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Other practice location 1

1800 Howell Mill Rd NW
Suite 800
Atlanta, GA 30318-2538
Phone (404) 350-9853

Other identifiers 2

IdentifierTypeStateIssuer
51046579DUROtherALBCBS PROVIDER NUMBER
DU000046579MedicaidAL

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
I20181121000674 AL Practitioner - Nurse Practitioner 6204950033 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN180719NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zaheer a Khan MD PC CurrentSince May 1, 2022 Accepting new patients
Crestwood Physician Services, LLC CurrentSince Nov 1, 2023 Accepting new patients
St Luke Integrative Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
North Alabama Rehabilitation and Pain Specialist LLC PastSince Aug 1, 2018 Accepting new patients
Rainbow Family Medicine PastSince Nov 1, 2023 Accepting new patients
Everyday People Inc PastSince May 1, 2025 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500

929 Willowbrook Dr SE
Ste D
Huntsville, AL 35802
Phone (210) 482-9140

3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344

8489 Madison Blvd
Madison, AL 35758
Phone (256) 775-1090

1650 Slaughter Rd
#A
Madison, AL 35758
Phone (256) 325-3646

Interoperability endpoints

  • Direct secure messaging: angela.durham.1@3038.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
  • Direct secure messaging: angela.durham.2@3038.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System Crestwood Physicians, LLC 33 clinicians
Crestwood Physician Services, LLC 38 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

1650 Slaughter Rd
Suite a
Madison, AL 35758-8610
Phone (256) 325-3646

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
98.39
Improvement activities
40
Cost
80.71

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1699862474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016455",
            "telephone_number": "256-429-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SLAUGHTER RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588610",
            "telephone_number": "256-325-3646",
            "fax_number": "256-325-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Howell Mill Rd NW",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182538",
            "country_code": "US",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ANGELA",
        "middle_name": "PRUITT",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN180719NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51046579DUR",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DU000046579",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.