Individual provider Active NPI

Sara E Purvis, CRNP

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1982089801
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-134182 Issued in AL
Practice address
400 N Edwards St
Enterprise, AL 36330-2510
Phone
(334) 347-0584
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 1-134182 AL Primary

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2510

Mailing address

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 347-0584

Other practice location 1

849 S Three Notch St
Andalusia, AL 36420-5325
Phone (334) 222-8460

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
I20151102001186 AL Practitioner - Nurse Practitioner 6305156407 Reassigns benefits to 6 organizations

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
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians
Andalusia Physician Practices LLCGroup PAC ID 7315043007, shared by 2 NPIs, 29 clinicians

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3540

849 S Three Notch St
Andalusia, AL 36420-5325
Phone (334) 222-8466

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC CurrentSince Feb 23, 2018 Accepting new patients
Ies Alabama PLLC CurrentSince Feb 10, 2024 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Jun 1, 2021 Accepting new patients
Paragon Contracting Services LLC CurrentSince May 1, 2016 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Sep 1, 2015 Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Oct 3, 2020 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Oct 3, 2020 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6907

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

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

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

75 Remit Dr
Chicago, IL 60675

Organizations & group practices 10

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1982089801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 S Three Notch St",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205325",
            "country_code": "US",
            "telephone_number": "334-222-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-134182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.