Marcus Stephenson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-141024 Issued in AL

Practice address

108 4TH Ave NE
Reform, AL 35481-2227

Phone

(205) 375-6251

NPI assigned

Dec 31, 2019

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Marcus Stephenson Former name

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Pickens County Primary Care, PCGroup PAC ID 1658597307, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Whatley Health Services Inc

  dba Maude L. Whatley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Tuscaloosa, AL
  • NPI 1063422756
  Medicare reassignment Care Compare group NPD
• Pickens County Primary Care PC

  • Family Medicine Physician
  • Reform, AL
  • NPI 1629491451
  Medicare reassignment NPD
• Pickens County Primary Care, P.C

  • Rural Health Clinic/Center
  • Gordo, AL
  • NPI 1063988806
  Medicare reassignment NPD
• Mental Health BD of Bibb Pickens and Tuscaloosa Counties

  dba Indian Rivers MHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
  • NPI 1659313393
  NPD
• Pickens County Primary Care PC

  • Rural Health Clinic/Center
  • Carrollton, AL
  • NPI 1982205753
  NPD
• Pickens County Primary Care, PC

  • Rural Health Clinic/Center
  • Gordo, AL
  • NPI 1295421667
  NPD
• Whatley Health Services, Inc.

  dba Whatley Health Services Pharmacy

  • Community/Retail Pharmacy
  • Tuscaloosa, AL
  • NPI 1477276749
  NPD
• SVPS Psychiatric Services LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1447528591
  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1700425386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH AVE NE # A",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354812227",
            "telephone_number": "205-375-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE NE",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354812227",
            "telephone_number": "205-375-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 4th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Reform",
            "state": "AL",
            "postal_code": "354812049",
            "country_code": "US",
            "telephone_number": "205-375-2344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Concourse Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352442905",
            "country_code": "US",
            "telephone_number": "205-444-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MARCUS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141024",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-141024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephenson@pc3med.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 4th Ave NE",
            "city": "Reform",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354812227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephenson@pc3med.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 4th Ave SE",
            "city": "Reform",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354812049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARCUS",
            "last_name": "STEPHENSON",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Sue Robertson
• Robrich Enterprise LLC (Robertson Medical)
• Salem Nursing & Rehab Center of Reform, Inc. (Salem Nursing & Rehab of Reform)
• Erin Simpson Shirley, FNP-C
• Kimyuatta A Spencer, RPT
• Deanna S Wilkins, LPC

• Family Nurse Practitioner in Reform, AL
• Providers in Reform, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.