NPIMap

Individual provider Active NPI

Charles D Rubley, CRNP

  • Family Nurse Practitioner
  • Sulligent, AL
National Provider Identifier
1780899161
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-081378 Issued in AL
Practice address
1390 Walnut St
Sulligent, AL 35586-3841
Phone
(205) 698-7111
Fax
(205) 698-0511
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 1-081378 AL Primary

Addresses

Primary practice location

1390 Walnut St
Sulligent, AL 35586-3841

Mailing address

885 3Rd St NE
Carbon Hill, AL 35549-4909
Phone (205) 924-6133

Other practice location 1

12815 Highway 278
Beaverton, AL 35544-2954
Phone (205) 606-1200

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
I20080303000307 AL Practitioner - Nurse Practitioner 3173607975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Regional Health - Winfield, Inc. 7 clinicians

Practice addresses (Care Compare)

200 Carraway Dr
Suite B1
Winfield, AL 35594-5073
Phone (205) 487-7888

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Vernon, AL, CCN 017079
  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Marion Regional Medical Center Hospital, Hamilton, AL, CCN 010044
  • Fayette Medical Center Hospital, Fayette, AL, CCN 010045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Marion Regional Health - Winfield, Inc. CurrentSince Aug 10, 2025 Accepting new patients
Marion Regional Health - Winfield, Inc. Current Accepting new patients
Marion Regional Health - Winfield, Inc. CurrentSince Aug 10, 2025 Accepting new patients
NWMC Winfield Physicians LLC Family CurrentSince Jan 1, 2015 Accepting new patients
Beaverton Family Medicine LLC Family PastSince Jul 2, 2023 Accepting new patients
NWMC-Winfield Physician Practices, LLC Past Accepting new patients
NWMC-Winfield Physician Practices, LLC Past Accepting new patients
Marion Regional Health - Winfield, Inc. Past Accepting new patients
Southeast Imaging Partners LLC Past Accepting new patients
NWMC Winfield Physician Practices LLC Past Accepting new patients

Locations

1390 Walnut St
Sulligent, AL 35586
Phone (205) 216-3121

200 Carraway Dr
Ste B1
Winfield, AL 35594
Phone (205) 487-7000

1530 US Highway 43
Ofc
Winfield, AL 35594
Phone (205) 487-7000

255 Medical Dr
Ste 3
Winfield, AL 35594
Phone (205) 487-1100

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

Interoperability endpoints

  • Direct secure messaging: charles.rubley@nwp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • Direct secure messaging: charlesrubley@nmhs.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capstone Rural Health CenterParrish, AL, CCN 011945 Federally qualified health center Corporate Director Jan 28, 2011
Capstone CottageJasper, AL, CCN 011026 Federally qualified health center Corporate Director Jan 20, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1780899161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD ST NE",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355494909",
            "telephone_number": "205-924-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 WALNUT ST",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355863841",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12815 Highway 278",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "AL",
            "postal_code": "355442954",
            "country_code": "US",
            "telephone_number": "205-606-1200",
            "fax_number": "205-606-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBLEY",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-081378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulligent, AL

Sources for this page

Verify at the official NPI Registry.