Individual provider Active NPI

Sharon E Reynolds, NP

  • Gerontology Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1821563768
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-130363 Issued in AL
Practice address
4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 273-7000
NPI assigned
Oct 8, 2018
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-130363 AL
Gerontology Nurse Practitioner 363LG0600X 1-130363 AL Primary

Addresses

Primary practice location

4145 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114002958 AL Practitioner - Nurse Practitioner 1456605286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1722 Pine St
Suite 502
Montgomery, AL 36106-1160
Phone (334) 293-8123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.73 of 100Reported as individual
Quality
30.66
Improvement activities
40
Cost
99.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-130363ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Nurse Practitioner Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 24, 2018 Accepting new patients
Jackson Hospital and Clinic, Inc. CurrentSince Aug 15, 2022 Accepting new patients
The Health Care Authority for Baptist Health CurrentSince Sep 24, 2018 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

4145 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1821563768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-130363",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-130363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.