Individual provider Active NPI

Angela Dawkins

  • Acute Care Nurse Practitioner
  • Winfield, AL
National Provider Identifier
1225768229
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
905307 Issued in MS
Practice address
1530 US Highway 43
Winfield, AL 35594-5056
Phone
(205) 487-7000
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 905307 MS Primary

Addresses

Primary practice location

1530 US Highway 43
Winfield, AL 35594-5056

Mailing address

2603 Boyd Rd
Columbus, MS 39705-1241
Phone (662) 386-1298

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
I20230602001566 AL Practitioner - Nurse Practitioner 0941667141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905307MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physician Group, LLP CurrentSince Apr 12, 2023 Accepting new patients

Locations

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

Organizations & group practices 1

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1225768229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BOYD RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051241",
            "telephone_number": "662-386-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945056",
            "telephone_number": "205-487-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "905307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.