Norma Faye McKnight, CRNP

Individual provider Active NPI Family Nurse Practitioner · Dothan, AL

NPI 1134426588 · NPPES record last updated Feb 22, 2011

Key facts

NPI
1134426588
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-088605 (AL)
Practice address
4300 W Main St
Suite 102
Dothan, AL 36305-1054
Phone
(334) 793-9564
Fax
(334) 671-8907
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Dermatology, PC (5 clinicians)

Practice addresses (Care Compare)

4300 W Main St
Suite 102
Dothan, AL 36305-1306
Phone (334) 793-9564

Hospital & facility affiliations

  • Flowers Hospital Hospital · Dothan, AL · CCN 010055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Quality
100
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110627000582 AL Practitioner - Nurse Practitioner 9032397856 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Health of Dothan PC Family Current
since Feb 23, 2022
Accepting new patients
Affiliated Dermatology, PC Current
since May 16, 2011
Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

107 Medical Dr
Dothan, AL 36303
Phone (334) 500-3844

4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564

Interoperability endpoints

  • Direct secure messaging: normam21@dermdothan.emadirect.md
  • Direct secure messaging: norma@affiliated.emadirect.md

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-088605 AL Yes

Addresses

Primary practice location

4300 W Main St
Suite 102
Dothan, AL 36305-1054

Mailing address

4300 W Main St
Suite 102
Dothan, AL 36305-1054
Phone (334) 793-9564

Other identifiers

IdentifierTypeStateIssuer
1-088605OtherALCRNP LICENSE

Other providers in Dothan, AL

All providers in Dothan, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.