Individual provider Active NPI

Valencia Witherspoon

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1154046084
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-175870 Issued in AL
Practice address
710 15TH St E
Tuscaloosa, AL 35401-3236
Phone
(205) 526-2053
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 1-175870 AL Primary

Addresses

Primary practice location

710 15TH St E
Tuscaloosa, AL 35401-3236

Mailing address

3550 Grandview Pkwy
Birmingham, AL 35243-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, LA, TN, MS, KY, AR, NC7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20221107002794 AL Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 5 organizations
I20251021004900 LA Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations
I20251111003240 TN Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations
I20251114002587 MS Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations
I20251118004195 KY Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations
I20251205001925 AR Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations
I20260112003315 NC Practitioner - Nurse Practitioner 8527435353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, shared by 4 NPIs, 192 clinicians
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

1151 W 9TH St
Russellville, KY 42276-9760
Phone (270) 847-4033

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

1539 Montgomery Hwy
Suite 101
Vestavia Hills, AL 35216-4557
Phone (659) 599-9513

1635 College Ave
Spindale, NC 28160-0016
Phone (828) 330-9190

25 Bear Pkwy
Lincoln, AL 35096-6798

280 A Rees St
Breaux Bridge, LA 70517-4612
Phone (337) 294-0701

301 Versailles Rd
Frankfort, KY 40601-3633
Phone (502) 352-2310

416 N Seminary St
Florence, AL 35630-6411
Phone (931) 253-1110

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

710 15TH St E
Tuscaloosa, AL 35401-3236
Phone (205) 526-2053

9149 Hwy 119
Alabaster, AL 35007-5342
Phone (659) 242-5456

9171 Hwy 119
Alabaster, AL 35007-5342
Phone (659) 242-5456

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39705TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care, Inc. CurrentSince Oct 22, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 2, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 17, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 6, 2023 Accepting new patients
Advantage Family Care Inc CurrentSince Oct 22, 2024 Accepting new patients
American Family Care, LLC CurrentSince Oct 18, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 6, 2023 Accepting new patients
American Family Care, LLC CurrentSince Oct 18, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 17, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Nov 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 2, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations (25 of 28)

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

1539 Montgomery Hwy
Ste 101
Hoover, AL 35216
Phone (659) 599-9513

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

1989 Montgomery Hwy
Hoover, AL 35244
Phone (659) 599-9512

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

401 Main St
Benton, KY 42025
Phone (270) 906-0369

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1151 W 9th St
Russellville, KY 42276
Phone (270) 847-4033

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

280A Rees St
Breaux Bridge, LA 70517
Phone (337) 294-0701

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

212 S Tryon St
Ste 100
Charlotte, NC 28281

1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1154046084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 15TH ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013236",
            "telephone_number": "205-526-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "VALENCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-175870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.