Individual provider Active NPI

Audra Leigh Busenlehner, M.D.

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1720051584
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21947 Issued in AL
Practice address
3515 Watermelon Rd
Northport, AL 35473-5174
Phone
(205) 737-9024
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21947 AL Primary

Addresses

Primary practice location

3515 Watermelon Rd
Northport, AL 35473-5174

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (813) 444-5838

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000507 AL Practitioner - Family Practice 7012099427 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Family Medical Associates of Alabama, LLCGroup PAC ID 2163879776, 18 clinicians

Practice addresses (Care Compare)

3515 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 737-9024

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Hoover, AL, CCN 017026
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21947ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates of Alabama, LLC CurrentSince Jul 1, 2024 Accepting new patients
Medcenter Demopolis, LLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
The DCH Health Care Authority CurrentSince Mar 11, 2022 Accepting new patients
The DCH Healthcare Authority CurrentSince Mar 11, 2022 Accepting new patients
Southeastern Pain & Rehabilitation Physicians, PC CurrentSince Jan 9, 2023 Accepting new patients
Medcenter Primary Care, LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Medcenter Fayette, LLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
National Family Medical Associates, LLC Family Medicine Past Accepting new patients

Locations

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

3515 Watermelon Rd
Northport, AL 35473
Phone (205) 366-0032

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: audra.busenlehner.medcentersouth@mcs.direct.systemedx.com
  • Direct secure messaging: audra.busenlehner.medcenternorth@mcn.direct.systemedx.com
  • Direct secure messaging: audra.busenlehner@vt.eclinicaldirectplus.com

Organizations & group practices 8

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 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1720051584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "813-444-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735174",
            "telephone_number": "205-737-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSENLEHNER",
        "first_name": "AUDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.