Individual provider Active NPI

Kerry Shane Lawler, NP-C

  • Family Nurse Practitioner
  • Hodges, AL
National Provider Identifier
1881260719
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-120597 Issued in AL
Practice address
570 McCluskey Rd
Hodges, AL 35571-3638
Phone
(205) 269-3081
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 1-120597 AL Primary

Addresses

Primary practice location

570 McCluskey Rd
Hodges, AL 35571-3638

Mailing address

570 McCluskey Rd
Hodges, AL 35571-3638
Phone (205) 269-3081

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
I20210625002729 AL Practitioner - Nurse Practitioner 9335540400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-120597ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Mobile PC CurrentSince May 1, 2023 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

Organizations & group practices 2

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1881260719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MCCLUSKEY RD",
            "city": "HODGES",
            "state": "AL",
            "postal_code": "355713638",
            "telephone_number": "205-269-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MCCLUSKEY RD",
            "city": "HODGES",
            "state": "AL",
            "postal_code": "355713638",
            "telephone_number": "205-269-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "KERRY",
        "middle_name": "SHANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-120597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodges, AL

Sources for this page

Verify at the official NPI Registry.