Individual provider Active NPI

Sydney Stevens Weber, C.R.N.P.

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1073979886
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN283935 Issued in GA
Practice address
1052 Ross Clark Cir
Dothan, AL 36303-5425
Phone
(334) 699-3600
Fax
(334) 699-3601
NPI assigned
Jan 8, 2016
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-139936 AL
Nurse Practitioner 363L00000X RN283935 GA Primary

Addresses

Primary practice location

1052 Ross Clark Cir
Dothan, AL 36303-5425

Mailing address

1052 Ross Clark Cir
Dothan, AL 36303-5425
Phone (334) 699-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160502000904 AL Practitioner - Nurse Practitioner 3072812759 Reassigns benefits to 1 organization
I20190731002309 GA Practitioner - Nurse Practitioner 3072812759

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

513 Brookwood Blvd
Suite 401
Birmingham, AL 35209-6883
Phone (205) 870-0256

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-139936ALMDNurse Practitioner
RN283935GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Sep 13, 2025 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Sep 13, 2025 Accepting new patients

Locations

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

Interoperability endpoints

  • Direct secure messaging: sydney.weber@gastrohealth.eclinicaldirectplus.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, 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": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1073979886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035425",
            "telephone_number": "334-699-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035425",
            "telephone_number": "334-699-3600",
            "fax_number": "334-699-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SYDNEY",
        "middle_name": "STEVENS",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-139936",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN283935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.