The Coulter Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE COULTER CLINIC, LLC

Practice address

1405 SW Jefferson St
Athens, AL 35611-3531

Phone

(256) 780-0216

Fax

(256) 780-0218

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morgan Bates Coulter, FNPNPI 1154884286

Title

Clinic Owner, FNP

Phone

(256) 780-0216

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morgan Bates Coulter, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elkmont, AL
  • NPI 1154884286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1710709654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SW JEFFERSON ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113531",
            "telephone_number": "256-780-0216",
            "fax_number": "256-780-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SW JEFFERSON ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113531",
            "telephone_number": "256-780-0216",
            "fax_number": "256-780-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COULTER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "BATES",
        "authorized_official_title_or_position": "CLINIC OWNER, FNP",
        "authorized_official_telephone_number": "256-780-0216",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "1-154372",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Athens, AL
• Providers in Athens, 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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.