Individual provider Active NPI

Rhonda Tow Coker, NURSE PRACTITIONER-C

  • Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1255893889
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-111026 Issued in AL
Practice address
1642A Pelham Rd S
Jacksonville, AL 36265-3312
Phone
(256) 365-2233
Fax
(256) 365-2187
NPI assigned
Apr 2, 2019
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-111026 AL Primary
Family Nurse Practitioner 363LF0000X 1-111026 AL
Registered Nurse 163W00000X 1-111026 AL

Addresses

Primary practice location

1642A Pelham Rd S
Jacksonville, AL 36265-3312

Mailing address

PO Box 1961
Gadsden, AL 35902-1961
Phone (256) 438-4047

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
I20191115002914 AL Practitioner - Nurse Practitioner 8527490317 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Clinic LLCGroup PAC ID 7315188281, 5 clinicians

Practice addresses (Care Compare)

307 Main St SW
Hanceville, AL 35077-5476
Phone (256) 352-4767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-111026ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince May 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 6, 2019 Accepting new patients
Horizon Medical Clinic LLC CurrentSince May 1, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince May 6, 2019 Accepting new patients
Main Street Clinic, LLC CurrentSince May 1, 2023 Accepting new patients
Smart Care, LLC CurrentSince May 1, 2023 Accepting new patients
Doctors Med Care of E Gadsden, P.C. CurrentSince Apr 7, 2020 Accepting new patients

Locations

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

366 E Meighan Blvd
Gadsden, AL 35903
Phone (256) 485-0982

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

Organizations & group practices 8

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1255893889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1961",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021961",
            "telephone_number": "256-438-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642A PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-365-2233",
            "fax_number": "256-365-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "RHONDA",
        "middle_name": "TOW",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-01-26",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-111026",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-111026",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-111026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.