Individual provider Active NPI

John Ryan Aldridge, C.R.N.P.

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1902150089
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-102777 Issued in AL
Practice address
2055 E South Blvd Ste 601
Montgomery, AL 36116-2014
Phone
(334) 281-9000
Fax
(334) 281-8262
NPI assigned
Oct 29, 2012
Last updated
Oct 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-102777 AL Primary

Addresses

Primary practice location

2055 E South Blvd Ste 601
Montgomery, AL 36116-2014

Mailing address

2055 E South Blvd Ste 601
Montgomery, AL 36116-2014
Phone (334) 281-9000

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
I20121105000452 AL Practitioner - Nurse Practitioner 7315198199 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians
Ivy Creek Medical AssociatesGroup PAC ID 7012370497, 2 clinicians

Practice addresses (Care Compare)

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

73996 Tallassee Hwy
Wetumpka, AL 36092-7310
Phone (334) 567-4116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-102777ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 29, 2012 Accepting new patients
Community Hospital, Inc CurrentSince Sep 28, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jul 1, 2022 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Community Hospital Inc Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 29, 2012 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jul 1, 2022 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek Medical Associates CurrentSince Jul 17, 2023 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc CurrentSince Sep 28, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
Ivycreek of Elmore LLC Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 601
Montgomery, AL 36116
Phone (334) 281-9000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

80 Herren Hill Rd
Ste A
Tallassee, AL 36078
Phone (334) 283-3844

80 Herren Hill Rd
Ste F
Tallassee, AL 36078
Phone (334) 283-3896

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

875 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-3111

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311

73996 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 567-4116

Interoperability endpoints

  • Direct secure messaging: john.aldridge@ivm.direct.medconnecthealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1902150089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 601",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162014",
            "telephone_number": "334-281-9000",
            "fax_number": "334-281-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 601",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162014",
            "telephone_number": "334-281-9000",
            "fax_number": "334-281-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "JOHN",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-102777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.