Individual provider Active NPI

Sonya L Mink, CRNP

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1174574768
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-070199 Issued in AL
Practice address
2708 Highway 78 E
Jasper, AL 35501-3430
Phone
(205) 387-2253
Fax
(205) 387-2269
NPI assigned
May 16, 2006
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 1-070199 AL Primary

Addresses

Primary practice location

2708 Highway 78 E
Jasper, AL 35501-3430

Mailing address

2708 Highway 78 E
Jasper, AL 35501-3430
Phone (205) 387-2253

Other identifiers 1

IdentifierTypeStateIssuer
190838MedicaidAL

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
I20060119000458 AL Practitioner - Nurse Practitioner 1052335833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Center, LLCGroup PAC ID 3779684139, 3 clinicians

Practice addresses (Care Compare)

2165 Hwy 78
Suite 100
Dora, AL 35062-4539
Phone (205) 648-4567

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
80.27
Promoting interoperability
100
Improvement activities
40
Cost
71.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Center LLC CurrentSince Jan 6, 2025 Accepting new patients
Tuscaloosa Medcenter North, LLC CurrentSince Mar 1, 2025 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Baptist Health Centers, LLC Past Accepting new patients
Baptist Health Centers LLC Past Accepting new patients

Locations

2165 Highway 78
Ste 100
Dora, AL 35062
Phone (205) 648-4567

2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1174574768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013430",
            "telephone_number": "205-387-2253",
            "fax_number": "205-387-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013430",
            "telephone_number": "205-387-2253",
            "fax_number": "205-387-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "SONYA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-070199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190838",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.