Individual provider Active NPI

Shelby Nicole Spurlin, CRNP

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1922420124
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-123708 Issued in AL
Practice address
400 E 10TH St
Anniston, AL 36207-4716
Phone
(256) 235-5211
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-123708 AL Primary
Emergency Registered Nurse 163WE0003X 1-123708 AL

Addresses

Primary practice location

400 E 10TH St
Anniston, AL 36207-4716

Mailing address

3860 Friendship Rd
Oxford, AL 36203-4901
Phone (256) 310-4683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140513001660 AL Practitioner - Nurse Practitioner 8426271727 Reassigns benefits to 2 organizations
I20240603000789 GA Practitioner - Nurse Practitioner 8426271727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrollton Emergency Physicians PCGroup PAC ID 7416860010, 34 clinicians

Practice addresses (Care Compare)

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Nov 22, 2023 Accepting new patients
Alabama Physicians Group LLC CurrentSince Aug 15, 2023 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jul 29, 2017 Accepting new patients
Carrollton Emergency Physicians, PC CurrentSince Mar 16, 2024 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1922420124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 FRIENDSHIP RD",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362034901",
            "telephone_number": "256-310-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074716",
            "telephone_number": "256-235-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLIN",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-123708",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-123708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.