Individual provider Active NPI

James Nicholas Blackwood, FNP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1124548011
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117336 Issued in AL
Practice address
412 W Cloverdale Rd
Scottsboro, AL 35768-4264
Phone
(256) 259-1505
NPI assigned
Jun 22, 2017
Last updated
Jun 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-117336 AL Primary

Addresses

Primary practice location

412 W Cloverdale Rd
Scottsboro, AL 35768-4264

Mailing address

47 County Road 751
Hollywood, AL 35752-6637
Phone (256) 599-1202

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
I20170816001169 AL Practitioner - Nurse Practitioner 4789956442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bradford Family Healthcare PCGroup PAC ID 6901034586, 4 clinicians

Practice addresses (Care Compare)

508 Harley St
Suite D
Scottsboro, AL 35768-4263
Phone (256) 259-0734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Alabama LLC CurrentSince Jul 7, 2017 Accepting new patients
Bradford Family Healthcare PC CurrentSince Sep 5, 2018 Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

508 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-0734

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.blackwood.1@17171.direct.athenahealth.com
  • Direct secure messaging: james.blackwood.1@7879.direct.athenahealth.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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1124548011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COUNTY ROAD 751",
            "city": "HOLLYWOOD",
            "state": "AL",
            "postal_code": "357526637",
            "telephone_number": "256-599-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CLOVERDALE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684264",
            "telephone_number": "256-259-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "JAMES",
        "middle_name": "NICHOLAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.