Individual provider Active NPI

Amy MC Glaughn, NP

  • Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1891948980
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-095630 Issued in AL
Practice address
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone
(256) 494-4000
Fax
(256) 494-4474
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-095630 AL Primary

Addresses

Primary practice location

1007 Goodyear Ave
Gadsden, AL 35903-1195

Mailing address

14050 NW 14TH St
Sunrise, FL 33323-2865
Phone (954) 377-2951

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
I20081218000598 AL Practitioner - Nurse Practitioner 0941362354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

2550 Acton Rd
Suite 110
Vestavia, AL 35243-4248
Phone (205) 761-5195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-095630ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC Current Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jun 5, 2023 Accepting new patients
Gadsden Regional Physician Group Practice LLC CurrentSince Sep 1, 2015 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Nov 10, 2021 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

2740 Headland Ave
Dothan, AL 36303
Phone (334) 792-3200

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903
Phone (256) 413-6240

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

2425 Highway 77
Southside, AL 35907
Phone (256) 413-7799

2550 Acton Rd
Ste 110
Vestavia, AL 35243
Phone (205) 761-5195

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1891948980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "954-377-2951",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-494-4000",
            "fax_number": "256-494-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC GLAUGHN",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-095630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.