Individual provider Active NPI

Emily Defourneaux, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1841761814
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-144863 Issued in AL
Practice address
44 Hughes Rd Ste 100
Madison, AL 35758-3045
Phone
(850) 233-3376
Fax
(850) 522-8354
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 1-144863 AL Primary

Addresses

Primary practice location

44 Hughes Rd Ste 100
Madison, AL 35758-3045

Mailing address

2505 Harrison Ave
Panama City, FL 32405-4464
Phone (502) 333-3768

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
I20210609003043 AL Practitioner - Nurse Practitioner 6103226329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians
Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

8337 Hwy 72 W
Suite 301
Madison, AL 35758-9548
Phone (256) 772-1884

903 Chapman Creek Rd
Equality, AL 36026-4622
Phone (615) 274-9767

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Huntsville, AL, CCN 017176

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Dermatology Group PA CurrentSince Jun 2, 2021 Accepting new patients
HH Physicians Network CurrentSince Nov 1, 2023 Accepting new patients
Iris Medical Group Family CurrentSince Dec 1, 2025 Accepting new patients

Locations

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

201B Longwood Dr SE
Huntsville, AL 35801
Phone (256) 539-6473

401 Lowell Dr SE
Ste 12
Huntsville, AL 35801
Phone (256) 265-6851

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

8337 Highway 72 W
Ste 301
Madison, AL 35758
Phone (256) 772-1884

44 Hughes Rd
Ste 1100
Madison, AL 35758
Phone (256) 464-8200

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

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.

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1841761814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054464",
            "telephone_number": "502-333-3768",
            "fax_number": "850-522-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583045",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOURNEAUX",
        "first_name": "EMILY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.