MARGARET ELAINE BACKSTROM FNP-C
NPI 1396589420
Nurse Practitioner - Family in Lanett, AL

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment
702 S 13TH ST, LANETT, AL 36863(334) 644-3111 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2024, Jun 24, 2024 (2 updates tracked since 2024).

About Margaret Elaine Backstrom Fnp-c NPPES

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

MARGARET ELAINE BACKSTROM FNP-C (NPI 1396589420) is an individual family provider in Lanett, Alabama, licensed in Alabama (3-001849) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Union General Hospital, and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1396589420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGARET ELAINE BACKSTROMCredential: FNP-C
Location Address702 S 13TH STLanett, AL 36863-2834
Mailing Address3090 Hopewell RdValley, AL 36854-6109 · (706) 518-5441
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 24, 2024
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1396589420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 3-001849✔ Licensed in GA · APRNNP263766
702 S 13TH ST, Lanett, AL 36863

Other Names 1

Former Name (1)Margaret Elaine Bradley

Secondary Practice Location 1

Location 11825 Highway 34 E Ste 1200Newnan, GA 30265-6416 · Phone (888) 341-3236

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

Margaret Elaine Backstrom Fnp-c 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 ID9537606769
PECOS Enrollment IDI20250301000160
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

7

Medicare enrollment records show Margaret Backstrom reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
Family Medicine
1 PERIMETER PARK S, SUITE 100N
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 87 clinicians in this Medicare group
Hospitalist
145 E PEACOCK ST
Cochran, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 155 clinicians in this Medicare group
Hospitalist
1500 E SHOTWELL ST
Bainbridge, GA 39819
  • Reassigned Medicare billing, Georgia enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
2855 OLD HIGHWAY 5
Blue Ridge, GA 30513
  • Reassigned Medicare billing, Georgia enrollment
  • 124 clinicians in this Medicare group
Emergency Medical Services
35 HOSPITAL RD
Blairsville, GA 30512
  • Reassigned Medicare billing, Georgia enrollment
  • 50 clinicians in this Medicare group
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Georgia enrollment
  • 79 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
74 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
67 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36863 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 4

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

Speech-Language Pathologist
702 S 13TH ST
LANETT, AL 36863
Speech-Language Pathologist
702 S 13TH ST
LANETT, AL 36863
Skilled Nursing Facility
702 S 13TH ST
LANETT, AL 36863
Physical Therapist
702 S 13TH ST
LANETT, AL 36863

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 Margaret Backstrom's NPI number?

The NPI number for Margaret Backstrom is 1396589420. It was assigned to this individual provider in the NPPES registry on June 24, 2024. The provider is also known as Margaret Elaine Bradley.

Where is Margaret Backstrom located?

Margaret Backstrom practices at 702 S 13th St, Lanett, AL 36863. The listed phone number is (334) 644-3111.

What is Margaret Backstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Margaret Backstrom enrolled in Medicare?

Yes. Margaret Backstrom 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 Margaret Backstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Backstrom reassigns Medicare benefits to 7 organizations: Wellstreet Of Georgia PC (Newnan, GA), Curana Health Of Alabama LLC (Birmingham, AL), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA), Southland Bainbridge Hospitalist Group, LLC (Bainbridge, GA), Fort Oglethorpe Emergency Physicians Group LLC (Blue Ridge, GA) and 2 more organizations, listed in the Medicare section above. 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 Margaret Backstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Backstrom accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Margaret Backstrom 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.

Is Margaret Backstrom affiliated with any hospitals?

According to CMS data, Margaret Backstrom is affiliated with Union General Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Backstrom was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.