Miracle Lovelace, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN276970 Issued in GA

Practice address

6 Medical Park N
Valley, AL 36854-3601

Phone

(334) 756-8043

Fax

(334) 756-8059

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miracle L. Williams Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alabama Post-Acute Medical Service 1 PC

  • Hospitalist Physician
  • Phenix City, AL
  • NPI 1073052403
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  AL

  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AL

  Medicare reassignment NPD
• Chattahoochee Hospice Inc

  • Community Based Hospice Care Agency
  • Valley, AL
  • NPI 1760454631
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1295572709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK N",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543601",
            "telephone_number": "334-756-8043",
            "fax_number": "334-756-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK N",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543601",
            "telephone_number": "334-756-8043",
            "fax_number": "334-756-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hawthorne Cir",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302409711",
            "country_code": "US",
            "telephone_number": "706-501-8633",
            "fax_number": "334-756-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "MIRACLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3001882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN276970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRACLE",
            "last_name": "L. WILLIAMS",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leah Knight
• Leanne Knowles, CRNP
• Lanier Internal Medicine
• Lanier Pediatrics
• LHCG Li, LLC
• Tonya A Lyles, MD
• Valalena L Maddox
• Krishnaveni Manku
• Nancy E Martin, RPH
• Patrick L Martin, M.D.

• Family Nurse Practitioner in Valley, AL
• Providers in Valley, 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 Jan 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.