Individual provider Active NPI

Gayle L Lombard Jr., CRNP

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1942688320
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1113491 Issued in AL
Practice address
3442 US Highway 431
Albertville, AL 35950-0203
Phone
(256) 593-1234
Fax
(256) 593-6781
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 1113491 AL Primary

Addresses

Primary practice location

3442 US Highway 431
Albertville, AL 35950-0203

Mailing address

3442 US Highway 431
Albertville, AL 35950-0203
Phone (256) 593-1234

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
I20151117000786 AL Practitioner - Nurse Practitioner 5395055636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Medical Corporation, PCGroup PAC ID 0648534982, 7 clinicians

Practice addresses (Care Compare)

2692 US Hwy 431
Boaz, AL 35957-5845
Phone (256) 558-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113491ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Go Medical Corporation PC CurrentSince Feb 12, 2018 Accepting new patients
Go Medical Corporation PC PastSince Aug 18, 2024 Accepting new patients

Locations

15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1942688320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500203",
            "telephone_number": "256-593-1234",
            "fax_number": "256-593-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500203",
            "telephone_number": "256-593-1234",
            "fax_number": "256-593-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "GAYLE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1113491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.