Teah Marie Dewitt, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-162246 Issued in AL

Practice address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Phone

(205) 330-1707

NPI assigned

Jan 24, 2024

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert J Bentley LLCGroup PAC ID 5799054904, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teah@dermcareal.emadirect.md

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.

• Robert J. Bentley LLC

  dba Dermatology Care of Alabama

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1366970253
  Medicare reassignment Care Compare group NPD
• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030
  Medicare reassignment NPD
• Tuscaloosa Medcenter North, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1972518777
  Medicare reassignment NPD
• Tuscaloosa Medcenter South, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689689481
  Medicare reassignment NPD
• Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1790338994
  NPD
• Medcenter Fayette, LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1235590001
  NPD (past)
• Medcenter Primary Care, LLC

  dba MedCenter NorthRiver

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357
  NPD (past)
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Hazel Green, AL
  • NPI 1508749342
  NPD (past)
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1881577625
  NPD (past)
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1942183785
  NPD (past)

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1245092352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-330-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 McFarland Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354762838",
            "country_code": "US",
            "telephone_number": "205-330-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "TEAH",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Deporter, D.P.M.
• Brianna Winters Derevjanik
• Leisa W Devenny, MD
• Michael F Devenny, MD
• Melissa Anne Deviney, MD
• Molly Elizabeth Dwyer Deyton, LICSW
• Rameet Kaur Dhaliwal
• Ali Mohammed Dhanaliwala, MD
• Moninder Kaur Dhillon, MD
• Diagnostic Health Corporation (Diagnostic Health Tuscaloosa)

• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.