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

Sex

Female

Sole proprietor

No

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.

• Robert J. Bentley LLC

  • Dermatology Physician
  • Tuscaloosa, AL
  • NPI 1366970253

  AL

  Medicare reassignment Care Compare group NPD
• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030

  AL

  Medicare reassignment NPD
• Tuscaloosa Medcenter North, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1972518777

  AL

  Medicare reassignment NPD
• Tuscaloosa Medcenter South, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689689481

  AL

  Medicare reassignment NPD
• Robert J. Bentley LLC

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

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1235590001

  Family

  NPD (past)
• Medcenter Primary Care, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357

  Family

  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)

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert J Bentley LLC 7 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2024.

{
    "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

• All providers in Tuscaloosa, AL
• 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.