Individual provider Active NPI

Natalie Brooke Carlisle, MD

  • Pediatrics Physician
  • Fairhope, AL
National Provider Identifier
1972064400
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41816 Issued in AL
Practice address
150 S Ingleside St Ste 7
Fairhope, AL 36532-1804
Phone
(251) 928-0624
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41816 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

150 S Ingleside St Ste 7
Fairhope, AL 36532-1804

Mailing address

PO Box 989
Fairhope, AL 36533-0989
Phone (251) 928-0624

Other practice location 1

9603 Stagecoach Commercial Park Cir
Spanish Fort, AL 36527-5525
Phone (251) 928-0624

Other practice location 2

1601 Center St
Mobile, AL 36604-1541
Phone (251) 410-5437

Other practice location 3

2451 University Hospital Dr Rm 714
Mobile, AL 36617-2300
Phone (251) 434-3915

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707002756 AL Practitioner - Pediatric Medicine 2860724416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41816ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Children'S Clinic Pediatrics CurrentSince Apr 7, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 1, 2022 Accepting new patients
USA Health Physician Billing Services LLC Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Eastern Shore Children'S Clinic, P.C. Pediatrics PastSince Feb 21, 2021 Accepting new patients

Locations

150 S Ingleside St
#7
Fairhope, AL 36532
Phone (251) 928-0624

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

9603 Stagecoach Commercial Park Cir
Spanish Fort, AL 36527
Phone (251) 928-0624

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1972064400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365330989",
            "telephone_number": "251-928-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-928-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9603 Stagecoach Commercial Park Cir",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275525",
            "country_code": "US",
            "telephone_number": "251-928-0624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041541",
            "country_code": "US",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 University Hospital Dr Rm 714",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-434-3915",
            "fax_number": "251-415-1387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "NATALIE",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "41816",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.