Wetumpka Medical Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

13468 Issued in AL

Legal business name

WETUMPKA MEDICAL CENTER

Practice address

76297 Tallassee Hwy
Wetumpka, AL 36092-5558

Phone

(334) 478-3276

Fax

(334) 478-3720

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark Hayden

Title

Physician

Phone

(334) 478-3276

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1073991733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76297 TALLASSEE HWY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925558",
            "telephone_number": "334-478-3276",
            "fax_number": "334-478-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76297 TALLASSEE HWY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925558",
            "telephone_number": "334-478-3276",
            "fax_number": "334-478-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETUMPKA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-478-3276",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "13468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "UNSPECIFIED",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jo Weston, LMSW
• Wetumpka Family Dentistry PC (Wetumpka Family Dentistry)
• Wetumpka Family Practice PA
• Wetumpka Health and Rehabilitation, LLC
• Wetumpka Hospitalists, P.C.
• Wetumpka Pharmacy (Wetumpka Pharmacy, LLC)
• Wetumpka Urgent Care LLC
• Beth Whatley, MS LPC
• Patricia Dianne White McClanahan, PH.D.
• Holly Worden Wilburn, MSN, CRNP, WHNP-BC

• Nurse Practitioner in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.