Deactivated NPI 1629550330 Deactivated / Inactive NPI Female Practitioner

Emily Ingram , CRNP

Nurse Practitioner • Dothan, AL

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Emily Ingram has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2018

NPI Deactivation Date October 25, 2018

Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Emily Ingram, CRNP was a registered Nurse Practitioner practicing in Dothan, AL. Throughout an active medical career spanning 1 years, Emily Ingram provided care at the practice location at 2445 MURPHY MILL RD until profile deactivation on 2018-10-25.

Emily Ingram was affiliated with American Family Care, Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, ceftriaxone sodium, per 250 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2445 Murphy Mill Rd

Dothan, AL 36303

Telephone 3345648255

Associated Practice Facility / Clinic

🏢 American Family Care, Llc Facility NPI 1528404613

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dothan, AL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -3.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

81 Specialists

Practicing in Dothan, AL (1475 Statewide)

Telehealth Adoption Rate

2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingram (8 Years) 8 Yrs

Dothan Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	616	99	$0.40	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	156	123	$30.00	$10.93
J0696 Injection, ceftriaxone sodium, per 250 mg	146	34	$20.00	$0.46
99213 Established patient office or other outpatient visit, typically 15 minutes	129	117	$143.31	$68.61
87804 Detection test by immunoassay with direct visual observation for influenza virus	100	50	$42.00	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	70	68	$198.56	$40.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$175.69	$84.14
71046 X-ray of chest, 2 views	47	45	$54.00	$25.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$199.61	$94.97
81002 Urinalysis, manual test	33	31	$5.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	23	23	$57.00	$8.65
87502 Detection test by nucleic acid for multiple types influenza virus	22	22	$150.00	$93.88
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$25.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$256.32	$122.38
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	14	$61.83	$50.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$12.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	11	11	$16.00	$10.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	466	105	$0.40	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	271	71	$20.00	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	205	136	$28.70	$11.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	103	$201.64	$97.63
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	97	93	$109.96	$49.76
87804 Detection test by immunoassay with direct visual observation for influenza virus	97	48	$37.09	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$258.24	$127.88
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$143.68	$69.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$175.66	$86.55
71046 X-ray of chest, 2 views	43	42	$54.00	$25.86
81002 Urinalysis, manual test	39	37	$5.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	35	34	$40.66	$7.30
J1885 Injection, ketorolac tromethamine, per 15 mg	31	14	$1.00	$0.53
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	21	21	$197.78	$40.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$25.00	$16.20
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$150.00	$93.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$12.00	$7.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	403	95	$0.40	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	246	58	$20.00	$0.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	175	120	$27.76	$11.43
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	161	147	$150.00	$50.42
99213 Established patient office or other outpatient visit, typically 15 minutes	112	102	$102.28	$71.67
87804 Detection test by immunoassay with direct visual observation for influenza virus	110	53	$23.15	$16.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	87	$159.33	$102.40
71046 X-ray of chest, 2 views	57	50	$81.44	$26.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$222.40	$134.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	51	48	$26.41	$7.69
81002 Urinalysis, manual test	46	42	$8.80	$3.44
36415 Insertion of needle into vein for collection of blood sample	46	42	$6.78	$2.96
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$39.40	$16.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$138.30	$89.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$62.07	$45.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	224	53	$0.40	$0.14
J0696 Injection, ceftriaxone sodium, per 250 mg	100	24	$20.00	$0.53
99213 Established patient office or other outpatient visit, typically 15 minutes	98	93	$93.89	$72.15
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	91	88	$150.00	$50.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	60	$30.00	$11.37
0011A Adm sarscov2 100mcg/0.5ml1st	61	61	$36.75	$19.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	50	$63.00	$45.01
0012A Adm sarscov2 100mcg/0.5ml2nd	49	49	$39.88	$33.40
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	18	$21.00	$16.08
71046 X-ray of chest, 2 views	24	22	$88.00	$25.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	19	$27.00	$7.77
36415 Insertion of needle into vein for collection of blood sample	18	17	$7.00	$3.00
81002 Urinalysis, manual test	15	15	$10.00	$3.48
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$43.00	$16.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	270	65	$0.40	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	148	34	$20.00	$0.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	92	$30.00	$11.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	106	$140.18	$85.26
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	85	85	$150.00	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	77	75	$94.19	$59.76
36415 Insertion of needle into vein for collection of blood sample	72	69	$7.00	$2.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$119.95	$86.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	64	63	$27.00	$7.74
87804 Detection test by immunoassay with direct visual observation for influenza virus	60	31	$21.00	$16.41
71046 X-ray of chest, 2 views	39	38	$88.00	$25.64
81002 Urinalysis, manual test	35	34	$10.00	$3.46
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$43.00	$16.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$60.00	$36.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	326	79	$0.40	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	166	47	$20.00	$0.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	137	104	$30.00	$13.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	69	$141.35	$84.60
87804 Detection test by immunoassay with direct visual observation for influenza virus	62	31	$21.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	56	56	$93.78	$58.53
36415 Insertion of needle into vein for collection of blood sample	44	44	$7.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	40	40	$27.00	$8.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$118.62	$83.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$188.23	$125.92
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$43.00	$16.20
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	21	12	$5.90	$0.13
81002 Urinalysis, manual test	20	20	$10.00	$3.41
71046 X-ray of chest, 2 views	15	15	$88.00	$24.29
82947 Blood glucose (sugar) level	11	11	$15.00	$4.28

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-145312

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

American Family Care, Llc

2445 Murphy Mill Rd, Dothan, AL 363031595

Phone: 3346776001

Secondary Practice Locations

2445 Murphy Mill Rd

Dothan, AL 36303

Phone: 3345648255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Sandra Quinn , CRNP

Nurse Practitioner - Family

NPI 1689173858

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address March 30, 2019

Registered at 2445 MURPHY MILL RD, DOTHAN, AL 363031595 (Tel: 3345648255)

📍

Updated Practice Location November 21, 2018

Registered at 2445 MURPHY MILL RD, DOTHAN, AL 36303 (Tel: 3345648255)

📍

Updated Business Mailing Address November 21, 2018

Registered at 7970 SOUTH PARK AVE, TAYLOR, AL 36301 (Tel: 3347336006)

👤

Provider Name / Credentials Updated November 21, 2018

Recorded as EMILY INGRAM, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2018

Nurse Practitioner (License #1-145312 in AL)

⚠️

NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

✅

NPI Profile Active August 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2018

Registered at 4370 W MAIN ST, DOTHAN, AL 363051056 (Tel: 3347945000)

📍

Updated Business Mailing Address August 30, 2018

Registered at 116 MONTROSE CT APT 77, DOTHAN, AL 363056624 (Tel: 3347336006)

👤

Provider Name / Credentials Updated August 30, 2018

Recorded as EMILY INGRAM, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2018

Nurse Practitioner (License #F06180469 in AL)

🟢

Initial NPI Registration & Enumeration August 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629550330

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2018

Last Update: March 30, 2019

Deactivation Date: October 25, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2445 Murphy Mill Rd

Dothan, AL 363031595

Phone: 3345648255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.