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NICOLE M LAIRD CRNP
NPI 1891904223
Internal Medicine in Evergreen, AL

Active since May 22, 2007
106 EDWINA ST, EVERGREEN, AL 36401(251) 578-4300(251) 578-4307 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole M Laird Crnp NPPES

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

NICOLE M LAIRD CRNP (NPI 1891904223) is a healthcare organization registered as an internal medicine in Evergreen, Alabama and active in the NPI registry since May 2007. The organization lists Sharon Jones, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1891904223
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVERGREEN MEDICAL CENTER LLC
Location Address106 EDWINA STEvergreen, AL 36401-3319
Mailing Address106 Edwina StEvergreen, AL 36401-3319 · (251) 578-4300 · Fax (251) 578-4307
Phone(251) 578-4300
Fax(251) 578-4307
Organization SubpartYes
Authorized OfficialSharon JonesChief Financial Officer · (251) 578-2480
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 20, 2010
✔ NPI 1891904223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AL · H1801✔ Licensed in AL · 19723
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
106 EDWINA ST, Evergreen, AL 36401
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Other Names 1

Doing Business AsNicole M Laird Crnp

Other Identifiers 3

Other529906180AL · Medicaid Group Payee Numb
Other529933018AL · Medicaid Payee
Other510G700111AL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M Laird Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Nicole M Laird Crnp, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Lisa Ripple, CRNP
Nurse Practitioner
NPI 1598599474
101 CRESTVIEW AVE
Evergreen, AL 36401
(251) 578-0176
✔ PECOS✔ Accepts MedicareSame address
Yolanda Beverly, FNP-C
Nurse Practitioner
NPI 1255065132
225 PATTERSON AVE
Georgiana, AL 36033
(334) 376-2005
✔ PECOS✔ Accepts Medicare19 mi
Jeffrey Voreis, MD
Family Practice
NPI 1144239450
225 PATTERSON AVE
Georgiana, AL 36033
(334) 376-2005
✔ PECOS✔ Accepts Medicare19 mi
Reagan Hanks
Nurse Practitioner
NPI 1154110211
26 MONROE STATION RD
Monroeville, AL 36460
(251) 227-3484
✔ PECOS23 mi
Aaron Morgan, M.D.
Family Practice
NPI 1932391661
401 EVERGREEN AVE STE B.
Brewton, AL 36426
(251) 286-8234
✔ PECOS✔ Accepts Medicare23 mi
Norman Mcgowin, M.D.
General Surgery
NPI 1184712101
45 MEDICAL ARTS CT STE 4
Greenville, AL 36037
(334) 382-6864
✔ PECOS✔ Accepts Medicare32 mi
Ziv Haims, D.O.
Internal Medicine
NPI 1053565424
318 W STRONG ST
Pensacola, FL 32501
(850) 797-1077
✔ PECOS✔ Accepts Medicare71 mi
Andrew Burch, MD
General Surgery
NPI 1689692915
3715 DAUPHIN ST STE 6D
Mobile, AL 36608
(251) 345-8878
✔ PECOS87 mi
Benjamin Marble, MD
Emergency Medicine
NPI 1437192119
859 WINTER ST
Lucedale, MS 39452
(601) 766-4212
✔ PECOS✔ Accepts Medicare104 mi

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

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 Evergreen Medical Center LLC's NPI number?

The NPI number for Evergreen Medical Center LLC is 1891904223. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Nicole M Laird Crnp.

Where is Evergreen Medical Center LLC located?

Evergreen Medical Center LLC is located at 106 Edwina St, Evergreen, AL 36401. The listed phone number is (251) 578-4300.

What is Evergreen Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evergreen Medical Center LLC enrolled in Medicare?

Yes. Evergreen Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Evergreen Medical Center LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and General Surgery (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Center LLC was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.