Individual provider Active NPI

Raece Flynt, NP-C

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1275148488
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-152026 Issued in AL
Practice address
108 Sanders St
Athens, AL 35611-2459
Phone
(256) 230-1116
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 1-152026 AL Primary

Addresses

Primary practice location

108 Sanders St
Athens, AL 35611-2459

Mailing address

3326 Loggers PL SW
Decatur, AL 35603-2116
Phone (256) 541-4443

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
I20201117001650 AL Practitioner - Nurse Practitioner 4880005172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ernest L Hendrix MD PCGroup PAC ID 4486671211, 3 clinicians
Alh HospitalistGroup PAC ID 7517289861, 10 clinicians

Practice addresses (Care Compare)

108 Sanders St
Suite D
Athens, AL 35611-2473
Phone (256) 230-1116

700 W Market St
Athens, AL 35611-2457
Phone (256) 262-2112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-152026ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Weighs to Better Health, LLC CurrentSince Sep 9, 2022 Accepting new patients
Flynt Medical Group, LLC. Family CurrentSince Aug 1, 2026 Accepting new patients
Flynt Medical PC Family PastSince Aug 1, 2026 Accepting new patients

Locations

725 W Market St
Ste B
Athens, AL 35611
Phone (256) 233-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26428/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEFDD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1275148488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 LOGGERS PL SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356032116",
            "telephone_number": "256-541-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-230-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNT",
        "first_name": "RAECE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-152026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.