Active NPI
Amy Nicole Collins, DNP, FNP-C
- Family Nurse Practitioner
- Northport, AL
National Provider Identifier
1104587617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-162620
- Practice address
- 4280 Watermelon Rd Ste 111
Northport, AL 35473-5250 - Phone
- (205) 333-8554
- Fax
- (205) 752-7696
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-162620 | AL | Primary |
Addresses
Primary practice location
4280 Watermelon Rd Ste 111
Northport, AL 35473-5250
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220222001126 | AL | Practitioner - Nurse Practitioner | 5597159350 | Reassigns benefits to 2 organizations |
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
- The Center for Pain of Montgomery LLC
Practice addresses (Care Compare)
4280 Watermelon Rd
Suite 111
Northport, AL 35473-5250
Phone (334) 649-6362
Hospital & facility affiliations
- DCH Regional Medical Center
- Fayette Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-162620 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Pain of Montgomery LLC | Current | Accepting new patients | |
| FLH, Inc. | Current | Accepting new patients | |
| The Center for Pain of Montgomery LLC | Current | Accepting new patients |
Locations
2065 E South Blvd
Ste 401
Montgomery, AL 36116
4280 Watermelon Rd
Ste 111
Northport, AL 35473
Phone (205) 333-8554
201 Defense Hwy
Ste 205
Annapolis, MD 21401
Interoperability endpoints
- amy.collins.1@11679.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Interventional Pain Medicine Physician
- Montgomery, AL
- NPI 1588710289
AL
-
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-
- Durable Medical Equipment & Medical Supplies
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- Durable Medical Equipment & Medical Supplies
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-
- Durable Medical Equipment & Medical Supplies
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- Durable Medical Equipment & Medical Supplies
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- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1548032352
-
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1659178705
Hospital & facility affiliations 4
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": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1104587617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY STE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 WATERMELON RD STE 111",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735250",
"telephone_number": "205-333-8554",
"fax_number": "205-752-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "AMY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-162620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.