Individual provider Active NPI

Laura C Walls, FNP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1104342294
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP003539 Issued in GA
Practice address
1508 S Broad St Ste 300
Scottsboro, AL 35768-2668
Phone
(256) 259-3600
Fax
(256) 256-3601
NPI assigned
Aug 21, 2017
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30240 TN
Family Nurse Practitioner 363LF0000X 1-122464 AL
Family Nurse Practitioner 363LF0000X GAA-NP003539 GA Primary

Addresses

Primary practice location

1508 S Broad St Ste 300
Scottsboro, AL 35768-2668

Mailing address

1508 S Broad St Ste 300
Scottsboro, AL 35768-2668
Phone (256) 259-3600

Other practice location 1

217 Walker St
Gurley, AL 35748-8330
Phone (256) 812-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, GA, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190923001976 AL Practitioner - Nurse Practitioner 0941530612 Reassigns benefits to 3 organizations
I20211111000113 TN Practitioner - Nurse Practitioner 0941530612 Reassigns benefits to 5 organizations
I20250723000359 GA Practitioner - Nurse Practitioner 0941530612 Reassigns benefits to 1 organization
I20250820001942 KY Practitioner - Nurse Practitioner 0941530612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Complete Express Care, LLCGroup PAC ID 5294904017, 5 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

1211 Dinah Shore Blvd
Winchester, TN 37398-1107
Phone (931) 967-6669

1850 Bluegrass Ave
Louisville, KY 40215-1199
Phone (502) 361-6000

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 481-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-122464ALMDFamily Nurse Practitioner
30240TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC CurrentSince Nov 8, 2021 Accepting new patients
Emergency Coverage Services, PC CurrentSince Aug 1, 2023 Accepting new patients
Complete Express Care, LLC Family CurrentSince Oct 1, 2022 Accepting new patients
Children's Urgent Care, LLC CurrentSince Jan 12, 2022 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Jul 26, 2025 Accepting new patients
Scottsboro Pediatrics PC CurrentSince Nov 11, 2023 Accepting new patients
Emergency Coverage, LLC CurrentSince Oct 4, 2023 Accepting new patients
Emergency Services of Montgomery PC CurrentSince Jul 1, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 1, 2025 Accepting new patients
Urgent Care for Children, PLLC PastSince Oct 11, 2020 Accepting new patients
Advanced Diagnostic Imaging PC PastSince Oct 1, 2022 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1508 S Broad St
Ste 300
Scottsboro, AL 35768
Phone (256) 259-3600

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1211 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-6669

Interoperability endpoints

  • Direct secure messaging: lwalls712922@direct.vumc.org

Organizations & group practices 12

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104342294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3600",
            "fax_number": "256-256-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3600",
            "fax_number": "256-256-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Walker St",
            "address_purpose": "LOCATION",
            "city": "Gurley",
            "state": "AL",
            "postal_code": "357488330",
            "country_code": "US",
            "telephone_number": "256-812-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30240",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122464",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.