Individual provider Active NPI

Roger S Herrin, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1992762926
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-069772 Issued in AL
Practice address
4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone
(334) 213-8804
Fax
(334) 213-8815
NPI assigned
Apr 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-069772 AL Primary

Addresses

Primary practice location

4212 Carmichael CT N
Montgomery, AL 36106-3621

Mailing address

4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone (334) 213-8804

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
I20041021000790 AL Practitioner - Nurse Practitioner 7517928674 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Scott Herrin Inc Nurse Practitioner CurrentSince Mar 26, 2016 Accepting new patients
Long-Term Care Physicians of Alabama Inc Past Accepting new patients

Locations

2701 Meridian St N
Huntsville, AL 35811
Phone (256) 582-5170

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992762926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "ROGER",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-069772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.