Individual provider Active NPI

Tracey Louise Owen, NP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1265065353
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-108865 Issued in AL
Practice address
2410 Avalon Ave Ofc
Muscle Shoals, AL 35661-3283
Phone
(256) 386-0808
Fax
(256) 389-8904
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-108865 AL Primary

Addresses

Primary practice location

2410 Avalon Ave Ofc
Muscle Shoals, AL 35661-3283

Mailing address

9711 Highway 64
Lexington, AL 35648-3500

Other practice location 1

7216 Bailey Cove Road SE
Huntsville, AL 35802
Phone (256) 513-9900

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
I20210224002289 AL Practitioner - Nurse Practitioner 5799190732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

11631 Hwy 101
Lexington, AL 35648-3249
Phone (256) 383-4473

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care, Inc. CurrentSince Oct 5, 2021 Accepting new patients
Avalon Medical Group CurrentSince Jun 19, 2023 Accepting new patients
Avalon Medical Group CurrentSince Mar 17, 2024 Accepting new patients
Advantage Family Care Inc CurrentSince Oct 5, 2021 Accepting new patients
Shoals Primary Care, LLC Family CurrentSince Sep 2, 2024 Accepting new patients
Southern Dermatology Center, PC PastSince Feb 1, 2020 Accepting new patients
Florence Family Practice PastSince Feb 1, 2020 Accepting new patients
Advantage Family Care, Inc. PastSince Jun 29, 2025 Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

202 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 349-5496

7216 Bailey Cove Rd SE
Huntsville, AL 35802
Phone (256) 513-9900

11631 Highway 101
Lexington, AL 35648
Phone (256) 229-6262

210 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 826-1001

2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808

2410 Avalon Ave
Ofc
Muscle Shoals, AL 35661
Phone (256) 386-0808

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1265065353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HIGHWAY 64",
            "city": "LEXINGTON",
            "state": "AL",
            "postal_code": "356483500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 AVALON AVE OFC",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613283",
            "telephone_number": "256-386-0808",
            "fax_number": "256-389-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7216 Bailey Cove Road SE",
            "address_purpose": "LOCATION",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35802",
            "country_code": "US",
            "telephone_number": "256-513-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "TRACEY",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-108865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.