Individual provider Active NPI

Felicia Renee Williams

  • Nurse Practitioner
  • Selma, AL
National Provider Identifier
1043830672
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-108551 Issued in AL
Practice address
101 Park PL
Selma, AL 36701-6764
Phone
(334) 412-7594
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-108551 AL
Nurse Practitioner 363L00000X 1-108551 AL Primary

Addresses

Primary practice location

101 Park PL
Selma, AL 36701-6764

Mailing address

101 Park PL
Selma, AL 36701-6764
Phone (334) 412-7594

Other practice location 1

321 Whiskey Run Rd
Camden, AL 36726-2303
Phone (334) 682-4128

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
I20220224000516 AL Practitioner - Nurse Practitioner 6507250172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

975 9TH Ave SW
Suite 320
Bessemer, AL 35022-7839
Phone (205) 277-2358

975 9TH Swave
Suite 210
Bessemer, AL 35022-7839
Phone (205) 926-2992

Hospital & facility affiliations

  • Amedisys Home Health of Selma Home health agency, Selma, AL, CCN 017320
  • J Paul Jones Hospital Hospital, Camden, AL, CCN 010781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-108551ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Feb 22, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Feb 22, 2022 Accepting new patients

Locations

321 Whiskey Run Rd
Camden, AL 36726
Phone (334) 682-4128

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

Interoperability endpoints

  • Direct secure messaging: felicia.williams.1@11347.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1043830672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016764",
            "telephone_number": "334-412-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016764",
            "telephone_number": "334-412-7594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Whiskey Run Rd",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AL",
            "postal_code": "367262303",
            "country_code": "US",
            "telephone_number": "334-682-4128",
            "fax_number": "205-316-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "FELICIA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-108551",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-108551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.