Individual provider Active NPI

Vanosia S. Faison, MD

  • Internal Medicine Physician
  • Prattville, AL
National Provider Identifier
1023199817
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30745 Issued in AL
Practice address
102 Medical Center Dr Ste F
Prattville, AL 36066-7286
Phone
(334) 568-2335
Fax
(334) 380-3567
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30745 AL
Internal Medicine Physician 207R00000X 30745 AL Primary

Addresses

Primary practice location

102 Medical Center Dr Ste F
Prattville, AL 36066-7286

Mailing address

102 Medical Center Dr Ste F
Prattville, AL 36066-7286
Phone (334) 568-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000388 AL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2365442126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Internal Medicine LLCGroup PAC ID 2668838178, 2 clinicians

Practice addresses (Care Compare)

1739 E Main St
Prattville, AL 36066-5525
Phone (334) 568-2335

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Prattville, AL, CCN 017055
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30745ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc CurrentSince Mar 22, 2017 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 1, 2021 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Services, Inc. CurrentSince Mar 22, 2017 Accepting new patients
American Family Care, LLC CurrentSince Nov 5, 2013 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 1, 2021 Accepting new patients
Grace Internal Medicine, LLC CurrentSince May 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince Nov 5, 2013 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Internal Medicine Past Accepting new patients
Miami Valley Emergency Specialists, LLC Past Accepting new patients

Locations

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

645 McQueen Smith Rd N
Ste 309
Prattville, AL 36066
Phone (334) 358-2010

102 Medical Center Dr
Ste F
Prattville, AL 36066
Phone (334) 568-2335

102 Medical Center Dr
Prattville, AL 36066
Phone (334) 358-1666

1595 E Main St
Prattville, AL 36066
Phone (334) 361-3171

Networks

  • FL PPO
  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: vanosia.faison.p1@direct.extendedarm.nextgenshare.com
  • Direct secure messaging: vfaison@gim-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1023199817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR STE F",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667286",
            "telephone_number": "334-568-2335",
            "fax_number": "334-380-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR STE F",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667286",
            "telephone_number": "334-568-2335",
            "fax_number": "334-380-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "VANOSIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "30745",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.