Individual provider Active NPI

Eulalie Draper Given Welden, PA-C

  • Physician Assistant
  • Mountain BRK, AL
National Provider Identifier
1366064719
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1590 Issued in AL
Practice address
2900 Cahaba Rd
Mountain BRK, AL 35223-1937
Phone
(205) 877-9773
Fax
(205) 877-9775
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.1590 AL
Physician Assistant 363A00000X PA.1590 AL Primary

Addresses

Primary practice location

2900 Cahaba Rd
Mountain BRK, AL 35223-1937

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (205) 877-9773

Other practice location 2

430 Fieldstown Rd Ste 104
Gardendale, AL 35071-2458
Phone (205) 877-9773

Other practice location 3

14 Office Park Cir
Mountain Brk, AL 35223-2563
Phone (205) 877-9773

Other names 1

  • Eulalie Crommelin Draper Given Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address lwelden@villagedermatology.emadirect.md
Direct Messaging Address lwelden@villagedermatology.emadirect.md
Direct Messaging Address lwelden@villagedermatology.emadirect.md
Direct Messaging Address lwelden@villagedermatology.emadirect.md

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
I20200715000597 AL Practitioner - Physician Assistant 6305269960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

14 Office Park Cir
Mountain BRK, AL 35223-2563
Phone (205) 877-9773

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.1590ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince May 12, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince May 12, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

430 Fieldstown Rd
Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

2900 Cahaba Rd
Mountain Brk, AL 35223
Phone (205) 572-4901

14 Office Park Cir
Mountain Brk, AL 35223
Phone (205) 877-9773

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1366064719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAHABA RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231937",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Gilbreath Dr",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351212827",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Fieldstown Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712458",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Office Park Cir",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352232563",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELDEN",
        "first_name": "EULALIE",
        "middle_name": "DRAPER GIVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.1590",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwelden@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "430 Fieldstown Rd Ste 104",
            "city": "Gardendale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350712458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwelden@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "150 Gilbreath Dr",
            "city": "Oneonta",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351212827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwelden@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2900 Cahaba Rd",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352231937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwelden@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "14 Office Park Cir",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352232563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EULALIE",
            "last_name": "GIVEN",
            "middle_name": "CROMMELIN DRAPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.