Individual provider Active NPI

Virginia McNeill, NP-C

  • Gerontology Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1194388587
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-120270 Issued in AL
Practice address
2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone
(205) 523-5618
Fax
(205) 462-7125
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-120270 AL Primary

Addresses

Primary practice location

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090

Mailing address

620 Fair Oaks LN
Tuscaloosa, AL 35406-1768

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
I20210108001252 AL Practitioner - Nurse Practitioner 4880007939 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Neuron, LLC CurrentSince Jul 1, 2021 Accepting new patients
Alpha Neuron, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401
Phone (205) 523-5618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1194388587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FAIR OAKS LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JACK WARNER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011090",
            "telephone_number": "205-523-5618",
            "fax_number": "205-462-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "VIRGINIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-120270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.