Individual provider Active NPI

Christina Noel Perry

  • Family Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1891491361
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-125151 Issued in AL
Practice address
200 Waits Dr
Andalusia, AL 36421-2431
Phone
(334) 427-6699
Fax
(251) 217-9107
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 1-125151 AL Primary

Addresses

Primary practice location

200 Waits Dr
Andalusia, AL 36421-2431

Mailing address

200 Waits Dr
Andalusia, AL 36421-2431
Phone (334) 427-6699

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
I20240326000222 AL Practitioner - Nurse Practitioner 3476990581 Reassigns benefits to 2 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
Premier Cardiology Associates PLLCGroup PAC ID 2466816269, 3 clinicians

Practice addresses (Care Compare)

1093 Ross Clark Cir
Dothan, AL 36303-5424
Phone (214) 701-7816

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physician Group, LLP CurrentSince Feb 14, 2024 Accepting new patients
Premier Cardiology Associates PLLC CurrentSince Aug 20, 2024 Accepting new patients
Premise Health of Alabama Medical PC CurrentSince Feb 12, 2023 Accepting new patients

Locations

109 Medical Park Dr
Ste A
Andalusia, AL 36420
Phone (214) 701-7816

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100

200 Waits Dr
Andalusia, AL 36421
Phone (334) 427-6699

1093 Ross Clark Cir
Dothan, AL 36303
Phone (214) 701-7816

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

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 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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1891491361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WAITS DR",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364212431",
            "telephone_number": "334-427-6699",
            "fax_number": "251-217-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WAITS DR",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364212431",
            "telephone_number": "334-427-6699",
            "fax_number": "251-217-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CHRISTINA",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.