Individual provider Active NPI

Amanda Kaye Adcock, CRNP

  • Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1730579889
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-105229 Issued in AL
Practice address
1215 7TH St SE Ste 240
Decatur, AL 35601-3397
Phone
(256) 973-4885
Fax
(256) 973-4805
NPI assigned
Jan 28, 2015
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-105229 AL Primary

Addresses

Primary practice location

1215 7TH St SE Ste 240
Decatur, AL 35601-3397

Mailing address

PO Box 2239
Decatur, AL 35609-2239
Phone (256) 973-2738

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
I20150505002101 AL Practitioner - Nurse Practitioner 7416276910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Morgan NeurologyGroup PAC ID 6002116621, 7 clinicians

Practice addresses (Care Compare)

1215 7TH St SE
Suite 260
Decatur, AL 35601-3399
Phone (256) 350-4885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.37 of 100Reported as group
Quality
45.96
Promoting interoperability
100
Improvement activities
40
Cost
75.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Regional Medical Center, Inc CurrentSince Jun 5, 2018 Accepting new patients
Decatur Morgan Neurology Neurology CurrentSince Jan 1, 2025 Accepting new patients
Decatur Neurology, PC Neurology CurrentSince Jan 1, 2025 Accepting new patients
North Central Neurology Associates, PC Neurology CurrentSince Mar 3, 2015 Accepting new patients
Decatur Morgan Primary Care PastSince Sep 1, 2021 Accepting new patients

Locations

1809 Kress St
Cullman, AL 35058
Phone (256) 739-1210

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1215 7th St SE
Decatur, AL 35601
Phone (256) 351-5400

1215 7th St SE
Ste 240
Decatur, AL 35601
Phone (205) 355-5315

1215 7th St SE
Ste 260
Decatur, AL 35601
Phone (256) 350-4885

Organizations & group practices 5

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 1

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1730579889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356092239",
            "telephone_number": "256-973-2738",
            "fax_number": "256-973-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE STE 240",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013397",
            "telephone_number": "256-973-4885",
            "fax_number": "256-973-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-105229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.