Individual provider Active NPI

Adaline Macall Morris, CRNP-BC

  • Family Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1861131781
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-169987 Issued in AL
Practice address
1112 Mountain Lake Dr NE
Jacksonville, AL 36265-1950
Phone
(256) 689-6703
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 1-169987 AL Primary

Addresses

Primary practice location

1112 Mountain Lake Dr NE
Jacksonville, AL 36265-1950

Mailing address

1112 Mountain Lake Dr NE
Jacksonville, AL 36265-1950
Phone (256) 689-6703

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
I20220810000267 AL Practitioner - Nurse Practitioner 3971986878 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Eastern Hospital Medicine PCGroup PAC ID 8325044597, 26 clinicians

Practice addresses (Care Compare)

13150 Hwy 43
Suite 10
Russellville, AL 35653-4566
Phone (256) 332-5901

50 Medical Park E Dr
Birmingham, AL 35235-3401
Phone (205) 838-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC CurrentSince Jul 15, 2022 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jun 10, 2024 Accepting new patients
Russellville Hospital Inc CurrentSince Aug 6, 2023 Accepting new patients
Alabama Mso LLC CurrentSince May 16, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Aug 6, 2023 Accepting new patients
Medical Director Services PC CurrentSince Mar 28, 2025 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jun 10, 2024 Accepting new patients
Dermaccel Family CurrentSince Nov 1, 2023 Accepting new patients
Russellville Hospital Inc Past Accepting new patients
Dermaccel PastSince Aug 17, 2025 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

401 Arnold St NE
Cullman, AL 35055
Phone (256) 739-9593

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

119 Watterson Pkwy
Trussville, AL 35173
Phone (205) 655-3226

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations & group practices 10

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 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1861131781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MOUNTAIN LAKE DR NE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362651950",
            "telephone_number": "256-689-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MOUNTAIN LAKE DR NE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362651950",
            "telephone_number": "256-689-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ADALINE",
        "middle_name": "MACALL",
        "name_prefix": "Miss",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.