Individual provider Active NPI

Pamela Edgeworth Carver, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1992099097
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-109633 Issued in AL
Practice address
2801 Highway 280 S
Protective Life Prohealth
Birmingham, AL 35223-2490
Phone
(205) 268-3265
Fax
(205) 268-6605
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-109633 AL Primary

Addresses

Primary practice location

2801 Highway 280 S
Protective Life Prohealth
Birmingham, AL 35223-2490

Mailing address

1530 3Rd Ave S
School of Nursing LRC 381
Birmingham, AL 35294-1210
Phone (205) 934-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-109633ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Protective Life Past Accepting new patients
Vincentian Physician Services LLC PastSince Sep 2, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1992099097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD AVE S",
            "address_2": "SCHOOL OF NURSING LRC 381",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352941210",
            "telephone_number": "205-934-7549",
            "fax_number": "205-975-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 280 S",
            "address_2": "PROTECTIVE LIFE PROHEALTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232490",
            "telephone_number": "205-268-3265",
            "fax_number": "205-268-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "PAMELA",
        "middle_name": "EDGEWORTH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-109633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.