Individual provider Active NPI

Richard Nance II, D.O.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1306232541
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.1602 Issued in AL
Practice address
1710 14TH St
Meridian, MS 39301-4140
Phone
(601) 703-1485
Fax
(601) 703-1488
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.4022R AL
Family Medicine Physician 207Q00000X DO.1602 AL Primary

Addresses

Primary practice location

1710 14TH St
Meridian, MS 39301-4140

Mailing address

1710 Duval Street
Tuscaloosa, AL 35406
Phone (205) 394-0113

Other practice location 1

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Other identifiers 1

IdentifierTypeStateIssuer
05001245MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160912002011 AL Practitioner - Family Practice 0547556961 Reassigns benefits to 1 organization
I20170925000381 MS Practitioner - Family Practice 0547556961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Medical FoundationGroup PAC ID 2567368541, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

905 C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4955

Hospital & facility affiliations

  • Ochsner Watkins Hospital Hospital, Quitman, MS, CCN 251316
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.1602ALMDFamily Medicine Physician
L.4022RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kemper Cah, Inc. Current Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jul 30, 2016 Accepting new patients
Kemper Cah, Inc CurrentSince Aug 21, 2017 Accepting new patients
American Family Care, LLC CurrentSince Jul 30, 2016 Accepting new patients

Locations

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

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1710 14th St
Meridian, MS 39301
Phone (601) 482-9211

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 and National Provider Directory roles.

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1306232541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DUVAL STREET",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-394-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014140",
            "telephone_number": "601-703-1485",
            "fax_number": "601-703-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2152 Old Springville Rd",
            "address_purpose": "LOCATION",
            "city": "Center Point",
            "state": "AL",
            "postal_code": "352154005",
            "country_code": "US",
            "telephone_number": "205-838-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANCE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.4022R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05001245",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.