Individual provider Active NPI

Elizabeth Vaughn Meacham, FNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1306420195
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116201 Issued in AL
Practice address
450 Lanier Rd
Madison, AL 35758-1866
Phone
(256) 817-5970
Fax
(256) 817-5971
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01210318 AL
Family Nurse Practitioner 363LF0000X 1-116201 AL Primary

Addresses

Primary practice location

450 Lanier Rd
Madison, AL 35758-1866

Mailing address

138 Brownstone Dr
Madison, AL 35758-8376
Phone (256) 698-2802

Other practice location 1

25235 One Aviation Way SW
Madison, AL 35756-4558
Phone (256) 963-9530

Other practice location 2

8371 Highway 72 W Ste 104
Madison, AL 35758-9505
Phone (256) 817-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220909001937 AL Practitioner - Nurse Practitioner 7810372935 Reassigns benefits to 1 organization
I20260127000811 TX Practitioner - Nurse Practitioner 7810372935 Reassigns benefits to 1 organization

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
Great Plains Tribal Chairmen'S Health BoardGroup PAC ID 0648609917, 64 clinicians
HH Physician CareGroup PAC ID 4082042940, 108 clinicians

Practice addresses (Care Compare)

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

8371 Hwy 72 W
Suite 104
Madison, AL 35758-9505
Phone (256) 265-5640

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-116201ALMDFamily Nurse Practitioner
F01210318ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care CurrentSince Mar 20, 2025 Accepting new patients
Great Plains Tribal Chairmen'S Health Board CurrentSince Nov 17, 2025 Accepting new patients
Family First Medicine LLC Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8371 Highway 72 W
Ste 104
Madison, AL 35758
Phone (256) 265-5640

450 Lanier Rd
Madison, AL 35758
Phone (256) 774-4500

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Organizations & group practices 3

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 1

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1306420195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROWNSTONE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588376",
            "telephone_number": "256-698-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LANIER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581866",
            "telephone_number": "256-817-5970",
            "fax_number": "256-817-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25235 One Aviation Way SW",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357564558",
            "country_code": "US",
            "telephone_number": "256-963-9530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8371 Highway 72 W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589505",
            "country_code": "US",
            "telephone_number": "256-817-5640",
            "fax_number": "256-817-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "ELIZABETH",
        "middle_name": "VAUGHN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01210318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.