MR. CONNOR RANDALL OVERBY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1386340198

MR. CONNOR RANDALL OVERBY (PMHNP-BC) is a healthcare provider. based in Guntersville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1-153880 (AL). The NPI Number for MR. CONNOR RANDALL OVERBY (PMHNP-BC) is 1386340198

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. CONNOR RANDALL OVERBY (PMHNP-BC)
NPI
1386340198
Phone
(256) 751-2201
Address
1241 BLOUNT AVE
Enumeration Date
2 February 2023
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2567344688
Graduation Year
2022 (4 years ago)
PAC ID
6406205756
Group Practice PAC ID
9739070046
Professional Enrollment ID
I20231212001078
Address ID
AL350556151CU1909XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. CONNOR RANDALL OVERBY (PMHNP-BC)

  • 1241 BLOUNT AVE

    GUNTERSVILLE, AL 359761831

    Phone: (256) 751-2201

    Type: Mailing

  • 1909 COMMERCE AVE

    CULLMAN, AL 350556151

    Phone: (256) 384-2211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 165 Open Payments records for all available years, with a total value of $2,935.

Total Amount is formed as General ($2,935) + Research ($0) + Ownership ($0) = $2,935.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($584).

Total Amount

$2,935

General + Research + Ownership

Payments

165

Total payment records

General Amount

$2,935

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231212001078INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 35976)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739070046View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Mental Health CounselorAL
Nurse PractitionerAL
P S Y C H I A T R YFL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Does MR. CONNOR RANDALL OVERBY (PMHNP-BC) have a public NPI I can cite?
Public records show MR. CONNOR RANDALL OVERBY (PMHNP-BC) under NPI 1386340198.
Is MR. CONNOR RANDALL OVERBY (PMHNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists MR. CONNOR RANDALL OVERBY (PMHNP-BC) as active.
What services align with MR. CONNOR RANDALL OVERBY (PMHNP-BC)'s listing?
MR. CONNOR RANDALL OVERBY (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. CONNOR RANDALL OVERBY (PMHNP-BC) in Guntersville, Alabama?
For routing, start with Guntersville, Alabama for MR. CONNOR RANDALL OVERBY (PMHNP-BC), then verify phone and hours locally.
Who maintains MR. CONNOR RANDALL OVERBY (PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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