NOELLE ANNE PRESCOTT (MD) – Family Medicine Physician, NPI 1093163925
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for NOELLE ANNE PRESCOTT (MD)
405 BELCHER ST
CENTREVILLE, AL 350422946
Phone: (205) 926-2992
Type: Mailing
5239 BOSWELL AVE
MEMPHIS, TN 381201511
Phone: (540) 560-3840
Type: Mailing
7000 Grasselli Rd
Fairfield, AL 350642424
Phone: (205) 791-5048
Fax: (205) 558-8045
Type: Location
Covington Pike, Memphis, Shelby County, Tennessee, 38135, United States
MEMPHIS, TN 381285048
Phone: (901) 383-8889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191205001236 | I | Family Practice | TN | TBD |
| I20220111001544 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| P S Y C H I A T R Y | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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