LILLIAN GRACE SUDDUTH CRNP
NPI 1356961932
Nurse Practitioner - Psychiatric/Mental Health in Florence, AL

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
635 W COLLEGE ST, FLORENCE, AL 35630(256) 768-7453(256) 765-2036 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2025, Aug 25, 2022, Apr 23, 2020 (3 updates tracked since 2020).

About Lillian Grace Sudduth Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIAN GRACE SUDDUTH CRNP (NPI 1356961932) is an individual psychiatric/mental health provider in Florence, Alabama, licensed in Alabama (1-175980) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356961932
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILLIAN GRACE SUDDUTHCredential: CRNP
Location Address635 W COLLEGE STFlorence, AL 35630-5313
Mailing Address635 W College StFlorence, AL 35630-5313 · (256) 764-3431 · Fax (256) 765-2036
Fax(256) 765-2036
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2020
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1356961932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-175980
Also ListedRegistered NurseTaxonomy 163W00000X · License 175980 (AL)
635 W COLLEGE ST, Florence, AL 35630

Secondary Practice Location 1

Location 11600 7th Ave SBirmingham, AL 35233-1711 · Phone (205) 638-9100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lillian Grace Sudduth Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698168664
PECOS Enrollment IDI20220216000118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lillian Sudduth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
635 W COLLEGE ST
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 32 clinicians in this Medicare group
Community/Behavioral Health
129 E PARK CIR
Birmingham, AL 35235
  • Reassigned Medicare billing, Alabama enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
635 W COLLEGE ST
FLORENCE, AL 35630
Counselor (Mental Health)
635 W COLLEGE ST
FLORENCE, AL 35630
Counselor (Mental Health)
635 W COLLEGE ST
FLORENCE, AL 35630
Social Worker
635 W COLLEGE ST
FLORENCE, AL 35630
Counselor (Professional)
635 W COLLEGE ST
FLORENCE, AL 35630
Social Worker
635 W COLLEGE ST
FLORENCE, AL 35630
Social Worker (Clinical)
635 W COLLEGE ST
FLORENCE, AL 35630
Registered Nurse
635 W COLLEGE ST
FLORENCE, AL 35630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillian Sudduth's NPI number?

The NPI number for Lillian Sudduth is 1356961932. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Lillian Sudduth located?

Lillian Sudduth practices at 635 W College St, Florence, AL 35630. The listed phone number is (256) 768-7453.

What is Lillian Sudduth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lillian Sudduth enrolled in Medicare?

Yes. Lillian Sudduth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lillian Sudduth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Sudduth reassigns Medicare benefits to 2 organizations: Riverbend Center For Mental Health (Florence, AL) and Eastside Mental Health Center Inc (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lillian Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Sudduth accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Lillian Sudduth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lillian Sudduth was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.