Smith Lake Family Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SMITH LAKE FAMILY CARE LLC

Practice address

6610 Curry Hwy
Jasper, AL 35503-5664

Phone

(205) 878-4800

Fax

(205) 471-7009

NPI assigned

Nov 3, 2020

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Hawthorne, MS

Title

Credentialing and Billing Manager

Phone

(205) 292-2428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Alvis, CRNP

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1659822625
  Medicare reassignment Care Compare group NPD
• Katie Lauren Braden, CRNP

  • Family Nurse Practitioner
  • Dora, AL
  • NPI 1407407224
  Medicare reassignment Care Compare group NPD
• Felicia Branham, CRNP

  • Family Nurse Practitioner
  • Cordova, AL
  • NPI 1861152977
  Medicare reassignment Care Compare group NPD
• Ashlie Allyce Hudson, CRNP

  • Family Nurse Practitioner
  • Beaverton, AL
  • NPI 1538758982
  Medicare reassignment Care Compare group NPD
• Dana McCullar, CRNP

  • Nurse Practitioner
  • Jasper, AL
  • NPI 1215286026
  Medicare reassignment Care Compare group NPD
• Autumn N Mummey, CRNP

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1376000828
  Medicare reassignment Care Compare group NPD
• Ragan Overby, CRNP

  • Family Nurse Practitioner
  • Gardendale, AL
  • NPI 1144705682
  Medicare reassignment Care Compare group NPD
• Crystal Gayle Self, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1164984035
  Medicare reassignment Care Compare group NPD
• Clifton Shane Scott, MD

  • Family Medicine Physician
  • Columbus, MS
  • NPI 1407205156

  AL

  Medicare reassignment Care Compare group NPD
• Leah Varden Gann, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
  • NPI 1780930826
  Medicare reassignment NPD
• Ashton Maryedith Harden, NP-C

  • Family Nurse Practitioner
  • Warrior, AL
  • NPI 1265940191
  Medicare reassignment NPD
• Marguerite Elisabeth Miller, FNP-BC

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1750995171
  Medicare reassignment NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306447776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-878-4800",
            "fax_number": "205-471-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-878-4800",
            "fax_number": "205-471-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH LAKE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-09-11",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
        "authorized_official_telephone_number": "205-292-2428",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dee Sims, O.D.
• Roy Lee Sims, MD
• Yuriy Skrubert, MD
• Whitney Sledge, CRNP
• Kindra Lea Sloan
• Smith Lake Urgent Care, LLC
• Smith Lake Urgent Care, LLC (Smith Lake Family Medicine)
• Jana Smith
• Judson Wayne Smith, M.D.
• Lisa G Smith

• Family Nurse Practitioner in Jasper, AL
• Providers in Jasper, 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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.