Active NPI
Charles Reid Kerr, M.D.
- Family Medicine Physician
- Andalusia, AL
National Provider Identifier
1790798973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15549
- Practice address
- 712 E Three Notch St
Andalusia, AL 36420-4004 - Phone
- (334) 222-8450
- Fax
- (334) 222-8066
- NPI assigned
- Aug 15, 2006
- Last updated
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15549 | AL | Primary |
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
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061114000469 | AL | Practitioner - Family Practice | 2365440955 | Practice locations: Andalusia, AL |
Care Compare profile
Medicare Care Compare- 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15549 | AL | MD | Family Medicine Physician |
Interoperability endpoints
- nka9822@yourcarecommunity.org
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Andalusia, AL
- NPI 1730118621
-
dba Aveanna Hospice of Andalusia
- Community Based Hospice Care Agency
- Andalusia, AL
- NPI 1649235706
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- Rural Acute Care Hospital
- Opp, AL
- NPI 1013937705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1790798973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 759",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201214",
"telephone_number": "334-222-8450",
"fax_number": "334-222-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364204004",
"telephone_number": "334-222-8450",
"fax_number": "334-222-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "CHARLES",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "15549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.