NPIMap

Individual provider Active NPI

Adam Ross Nortick, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fultondale, AL
National Provider Identifier
1740277607
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
16195 Issued in AL
Practice address
339 Walker Chapel PLZ Ste 115
Fultondale, AL 35068-3402
Phone
(205) 603-6820
Fax
(205) 533-9941
NPI assigned
Oct 5, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 16195 AL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 16195 AL Primary

Addresses

Primary practice location

339 Walker Chapel PLZ Ste 115
Fultondale, AL 35068-3402

Mailing address

732 Montgomery Hwy # 304
Vestavia Hills, AL 35216-1800
Phone (205) 603-6820

Other identifiers 1

IdentifierTypeStateIssuer
16195OtherALMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040112000355 AL Practitioner - Family PracticePractitioner - Emergency Medicine 6709786098 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16195ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Dec 1, 2011 Accepting new patients
Ranger Care CurrentSince Dec 28, 2020 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 1, 2015 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 1, 2015 Accepting new patients
Associates in Healthcare Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Nursing Solutions, Inc. Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Hale County Hospital Past Accepting new patients
Pain and Rehabilitation Center Inc PastSince Jan 1, 1999 Accepting new patients
The Center for Pain of Montgomery LLC Past Accepting new patients

Locations

3041 Ensley 5 Points W Ave
Birmingham, AL 35208
Phone (205) 581-6829

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Organizations & group practices 11

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740277607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MONTGOMERY HWY # 304",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161800",
            "telephone_number": "205-603-6820",
            "fax_number": "205-533-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WALKER CHAPEL PLZ STE 115",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350683402",
            "telephone_number": "205-603-6820",
            "fax_number": "205-533-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTICK",
        "first_name": "ADAM",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AL",
            "license": "16195",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AL",
            "license": "16195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16195",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fultondale, AL

Sources for this page

Verify at the official NPI Registry.