Individual provider Active NPI

Hilary Pennington

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1366112500
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01210661 Issued in AL
Practice address
24526 Craft Rd
Athens, AL 35613-7223
Phone
(256) 278-5704
NPI assigned
Sep 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01210661 AL Primary

Addresses

Primary practice location

24526 Craft Rd
Athens, AL 35613-7223

Mailing address

24526 Craft Rd
Athens, AL 35613-7223

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
I20220311001874 AL Practitioner - Nurse Practitioner 5294120143 Reassigns benefits to 2 organizations

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
West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians

Practice addresses (Care Compare)

1102 County Line Rd
Suite a
Madison, AL 35758-4866

11202 County Line Rd
Suite a
Madison, AL 35758-4866
Phone (256) 278-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
F01210661ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Madison Urgent & Primary Care, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

11202 County Line Rd
Ste A
Madison, AL 35756
Phone (256) 278-3080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIGBD
  • Direct secure messaging: hilary.pennington.1@25760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1366112500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24526 CRAFT RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24526 CRAFT RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137223",
            "telephone_number": "256-278-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "HILARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01210661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.