Charles Reid Kerr, M.D.
Individual provider Active NPI Family Medicine Physician · Andalusia, AL
NPI 1790798973 · NPPES record last updated Feb 21, 2008
Key facts
- NPI
- 1790798973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 15549 (AL)
- Practice address
- 712 E Three Notch St
Andalusia, AL 36420-4004 - Phone
- (334) 222-8450
- Fax
- (334) 222-8066
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
712 E Three Notch St
Andalusia, AL 36420-4004
Phone (334) 222-8450
Hospital & facility affiliations
- Centerwell Home Health
- Aveanna Hospice of Andalusia
- Andalusia Health
- Mizell Memorial Hospital
- Baptist Medical Center South
- Flowers Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061114000469 | AL | Practitioner - Family Practice | 2365440955 | Practice locations: Andalusia, AL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15549 | AL | MD | Pharmacist |
Interoperability endpoints
- nka9822@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15549 | AL | Yes |
Addresses
Primary practice location
712 E Three Notch St
Andalusia, AL 36420-4004
Mailing address
PO Box 759
Andalusia, AL 36420-1214
Phone (334) 222-8450
Other providers in Andalusia, AL
- Sonja Jones
- Lauren Hunter Karl
- Meron Kassaye
- Micalyn Kelley
- Kenny R Blackston OD PC
- Melissa Killough
- Kindred Harmony Counseling, LLC
- Robert Parrish King
- William G King Jr.
- Zoe King
All providers in Andalusia, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.