Individual provider Active NPI

Ali Jordan

  • Family Medicine Physician
  • Brewton, AL
National Provider Identifier
1023975174
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-174755 Issued in AL
Practice address
711 Douglas Ave
Brewton, AL 36426-1707
Phone
(251) 868-2090
Fax
(251) 868-2091
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-174755 AL Primary

Addresses

Primary practice location

711 Douglas Ave
Brewton, AL 36426-1707

Mailing address

711 Douglas Ave
Brewton, AL 36426-1707
Phone (251) 868-2090

Other practice location 1

1195 S Alabama Ave
Monroeville, AL 36460-3035
Phone (251) 743-2560

Other names 1

  • Ali Danielle Taylor Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225000640 AL Practitioner - Nurse Practitioner 8224519590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1195 S Alabama Ave
Monroeville, AL 36460-3035
Phone (251) 743-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-174755ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jan 28, 2026 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Jan 28, 2026 Accepting new patients
Loduca Pediatrics, LLC Past Accepting new patients

Locations

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHFJDD/Endpoint/FHFJDD

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1023975174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261707",
            "telephone_number": "251-868-2090",
            "fax_number": "251-868-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261707",
            "telephone_number": "251-868-2090",
            "fax_number": "251-868-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 S Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "AL",
            "postal_code": "364603035",
            "country_code": "US",
            "telephone_number": "251-743-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-174755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "TAYLOR",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.