Individual provider Active NPI

Douglas H Lolley, CRNP

  • Family Nurse Practitioner
  • Centreville, AL
National Provider Identifier
1760735716
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117341 Issued in AL
Practice address
208 Pierson Ave
Centreville, AL 35042-2918
Phone
(205) 926-3283
Fax
(205) 926-4275
NPI assigned
Oct 15, 2012
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-117341 AL Primary

Addresses

Primary practice location

208 Pierson Ave
Centreville, AL 35042-2918

Mailing address

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-117341ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Bibb County Healthcare Authority Current Accepting new patients
The Bibb County Healthcare Authority Current Accepting new patients

Locations

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

Interoperability endpoints

  • Direct secure messaging: dhlolley@bibb.direct.csshealthtech.com

Organizations & group practices 2

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1760735716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422918",
            "telephone_number": "205-926-3283",
            "fax_number": "205-926-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422918",
            "telephone_number": "205-926-3283",
            "fax_number": "205-926-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLEY",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.