Individual provider Active NPI

Benjamin L Sneed, CRNP

  • Family Nurse Practitioner
  • Ozark, AL
National Provider Identifier
1043278922
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-053875 Issued in AL
Practice address
1519 Andrews Ave
Ozark, AL 36360-3719
Phone
(334) 793-8087
Fax
(334) 793-8191
NPI assigned
May 2, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-053875 AL Primary

Addresses

Primary practice location

1519 Andrews Ave
Ozark, AL 36360-3719

Mailing address

PO Box 863
Ozark, AL 36361-0863
Phone (334) 793-8087

Other identifiers 2

IdentifierTypeStateIssuer
051502847MedicaidAL
51502847OtherALBCBS OF AL

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
I20091214000308 AL Practitioner - Nurse Practitioner 6800936378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allsouth Urgent Care Clinic, Inc.Group PAC ID 4183787492, 5 clinicians

Practice addresses (Care Compare)

4585 Montgomery Hwy
Dothan, AL 36303-1880
Phone (334) 340-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-053875ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allsouth Urgent Care Clinic, Inc. CurrentSince May 1, 2013 Accepting new patients
Southern Alabama Physicians LLP CurrentSince Sep 30, 2012 Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Sep 30, 2012 Accepting new patients

Locations

1052 Ross Clark Cir
Dothan, AL 36303
Phone (334) 699-3600

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

4585 Montgomery Hwy
Dothan, AL 36303
Phone (334) 340-2600

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

75 Remit Dr
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: bsneed@direct.meditouchehr.com
  • Direct secure messaging: bensneed@aucci-al.direct.office.nextgen.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1043278922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363610863",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 ANDREWS AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603719",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-053875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051502847",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51502847",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.