Individual provider Active NPI

Edward Byron Eppes

  • Family Nurse Practitioner
  • Leeds, AL
National Provider Identifier
1831668631
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-132813 Issued in AL
Practice address
1233 Maitland Rd
Leeds, AL 35094-1360
Phone
(205) 410-0829
NPI assigned
Nov 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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 1-132813 AL Primary

Addresses

Primary practice location

1233 Maitland Rd
Leeds, AL 35094-1360

Mailing address

1233 Maitland Rd
Leeds, AL 35094-1360
Phone (205) 410-0829

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
I20190123004378 AL Practitioner - Nurse Practitioner 1759628118 Reassigns benefits to 3 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
Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

3605 Ratliff Rd
Birmingham, AL 35210-4512
Phone (248) 528-2116

877 Cedar Bluff Rd
Centre, AL 35960-1005
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-132813ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Qofl Services LLC CurrentSince Nov 26, 2018 Accepting new patients
360Care Services of Al LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

877 Cedar Bluff Rd
Centre, AL 35960
Phone (256) 927-4900

150 S Perry St
Montgomery, AL 36104
Phone (225) 270-1012

11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1831668631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAITLAND RD",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350941360",
            "telephone_number": "205-410-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAITLAND RD",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350941360",
            "telephone_number": "205-410-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPES",
        "first_name": "EDWARD",
        "middle_name": "BYRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-132813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, AL

Sources for this page

Verify at the official NPI Registry.