Individual provider Active NPI

Carol Stewart, NP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1922319102
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-045437 Issued in AL
Practice address
7400 East Dr
102 Moore Hall
Montgomery, AL 36117
Phone
(334) 244-3281
Fax
(334) 244-3396
NPI assigned
Jun 23, 2010
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 1-045437 AL Primary

Addresses

Primary practice location

7400 East Dr
102 Moore Hall
Montgomery, AL 36117

Mailing address

PO Box 11087
Montgomery, AL 36111-0087
Phone (334) 481-1599

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
I20101103000243 AL Practitioner - Nurse Practitioner 4183818297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama AIDS Outreach IncGroup PAC ID 7517212376, 16 clinicians

Practice addresses (Care Compare)

2703 7TH St
Tuscaloosa, AL 35401-1865
Phone (205) 759-8470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-045437ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc Current Accepting new patients
West Alabama AIDS Outreach Inc CurrentSince Apr 13, 2024 Accepting new patients
West Alabama AIDS Outreach Past Accepting new patients

Locations

2573 Fairlane Dr
Montgomery, AL 36116
Phone (334) 280-3349

3050 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

2573 Fairlane Dr
Bldg 4
Montgomery, AL 36116
Phone (334) 280-3349

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

Interoperability endpoints

  • Direct secure messaging: carol.stewart.1@30992.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1922319102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11087",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361110087",
            "telephone_number": "334-481-1599",
            "fax_number": "334-356-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 EAST DR",
            "address_2": "102 MOORE HALL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-244-3281",
            "fax_number": "334-244-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-045437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.