Individual provider Active NPI

Teresa Jones, NP

  • Acute Care Nurse Practitioner
  • Goodwater, AL
National Provider Identifier
1053030585
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-108151 Issued in AL
Practice address
985 Prospect Rd
Goodwater, AL 35072-5554
Phone
(404) 980-2040
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-108151 AL Primary

Addresses

Primary practice location

985 Prospect Rd
Goodwater, AL 35072-5554

Mailing address

985 Prospect Rd
Goodwater, AL 35072-5554
Phone (404) 980-2040

Other practice location 1

985 Prospect Rd
Goodwater, AL 35072-5554
Phone (404) 980-2040

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
I20250220003408 AL Practitioner - Nurse Practitioner 9830619857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

88073 Hwy 9
Lineville, AL 36266-6943
Phone (205) 343-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

1201 22nd St N
Birmingham, AL 35234
Phone (205) 251-5271

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

88073 Highway 9
Lineville, AL 36266
Phone (256) 396-2104

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

Organizations & group practices 1

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1053030585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PROSPECT RD",
            "city": "GOODWATER",
            "state": "AL",
            "postal_code": "350725554",
            "telephone_number": "404-980-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PROSPECT RD",
            "city": "GOODWATER",
            "state": "AL",
            "postal_code": "350725554",
            "telephone_number": "404-980-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Goodwater",
            "state": "AL",
            "postal_code": "350725554",
            "country_code": "US",
            "telephone_number": "404-980-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-108151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodwater, AL

Sources for this page

Verify at the official NPI Registry.