Individual provider Active NPI

Nashia Simone McCoy, NP

  • Nurse Practitioner
  • Phenix City, AL
National Provider Identifier
1215707989
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3-001413 Issued in AL
Practice address
1810 Stadium Dr Ste 240
Phenix City, AL 36867-3179
Phone
(334) 297-4883
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3-001413 AL
Family Nurse Practitioner 363LF0000X RN240151 GA
Nurse Practitioner 363L00000X 3-001413 AL Primary

Addresses

Primary practice location

1810 Stadium Dr Ste 240
Phenix City, AL 36867-3179

Mailing address

1810 Stadium Dr Ste 240
Phenix City, AL 36867-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240325001270 GA Practitioner - Nurse Practitioner 1951748086 Reassigns benefits to 1 organization
I20240326000572 AL Practitioner - Nurse Practitioner 1951748086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, shared by 2 NPIs, 157 clinicians

Practice addresses (Care Compare)

1810 Stadium Dr
Suite 240
Phenix City, AL 36867-3179
Phone (334) 291-8303

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN240151GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 18, 2024 Accepting new patients

Locations

1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1215707989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR STE 240",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR STE 240",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673179",
            "telephone_number": "334-297-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "NASHIA",
        "middle_name": "SIMONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN240151",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.