Individual provider Active NPI

Johnnie Isioma Amadi, CRNP

  • Primary Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1134639115
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-115309 Issued in AL
Practice address
2525 Oakwood Ave NW
Huntsville, AL 35810-4410
Phone
(938) 233-8677
NPI assigned
Oct 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-115309 AL Primary

Addresses

Primary practice location

2525 Oakwood Ave NW
Huntsville, AL 35810-4410

Mailing address

2525 Oakwood Ave NW Ste a
Huntsville, AL 35810-4410
Phone (938) 233-8677

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
I20210520001133 AL Practitioner - Nurse Practitioner 5799184917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

2525 Oakwood Ave NW
Suite a
Huntsville, AL 35810-4410
Phone (256) 513-5013

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Huntsville Family Care, P.C. CurrentSince Dec 21, 2021 Accepting new patients
Nova Physician Group PLLC CurrentSince Oct 13, 2025 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC CurrentSince Oct 13, 2025 Accepting new patients
Rainbow Family Medicine PastSince Jun 1, 2021 Accepting new patients
Lister Healthcare Corporation PastSince Dec 21, 2021 Accepting new patients

Locations

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

2525 Oakwood Ave NW
Ste A
Huntsville, AL 35810
Phone (256) 513-5013

2616 Jordan Ln NW
Huntsville, AL 35816
Phone (256) 851-8433

2525 Oakwood Ave NW
Huntsville, AL 35810
Phone (256) 533-5754

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1134639115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 OAKWOOD AVE NW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104410",
            "telephone_number": "938-233-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 OAKWOOD AVE NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104410",
            "telephone_number": "938-233-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "JOHNNIE",
        "middle_name": "ISIOMA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-115309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.