Individual provider Active NPI

Courtney Marie Bates, CRNP

  • Family Medicine Physician
  • Oneonta, AL
National Provider Identifier
1740052075
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-147446 Issued in AL
Practice address
27550 State Highway 75 Ste 105
Oneonta, AL 35121-3204
Phone
(205) 625-5711
Fax
(205) 625-5711
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 1-147446 AL Primary

Addresses

Primary practice location

27550 State Highway 75 Ste 105
Oneonta, AL 35121-3204

Mailing address

27550 State Highway 75 Ste 105
Oneonta, AL 35121-3204
Phone (205) 625-5711

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
I20231227000776 AL Practitioner - Nurse Practitioner 5597115931 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-147446ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Clinic LLC CurrentSince Oct 30, 2023 Accepting new patients
Main Street Clinic, LLC CurrentSince Oct 29, 2023 Accepting new patients
Smart Care, LLC CurrentSince Feb 5, 2024 Accepting new patients
Midway Medical Clinic Family Medicine Past Accepting new patients

Locations

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1740052075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27550 STATE HIGHWAY 75 STE 105",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351213204",
            "telephone_number": "205-625-5711",
            "fax_number": "205-625-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27550 STATE HIGHWAY 75 STE 105",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351213204",
            "telephone_number": "205-625-5711",
            "fax_number": "205-625-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-147446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

Verify at the official NPI Registry.