Active NPI
Tyson Scott Rainer, FNP-C
- Family Nurse Practitioner
- Rainsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F01180190
- Practice address
- 124 McCurdy Ave S Ste C
Rainsville, AL 35986-5206 - Phone
- (256) 638-8513
- Fax
- (256) 638-8533
- NPI assigned
- Jan 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01180190 | AL | Primary |
Addresses
Primary practice location
124 McCurdy Ave S Ste C
Rainsville, AL 35986-5206
Mailing address
PO Box 2420
Rainsville, AL 35986-2420
Phone (256) 638-8513
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01180190 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Payne Clinic Corp. | Current | Accepting new patients | |
| Fort Payne Clinic Corp | Current | Accepting new patients | |
| Doctors Med Care of Fort Payne, P.C. | Current | Accepting new patients | |
| Newgen Alabama Billing LLC | Current | Accepting new patients | |
| Ess of Eufaula, LLC | Current | Accepting new patients |
Locations
1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345
2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
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.
-
- Emergency Medicine Physician
- Eufaula, AL
- NPI 1013650456
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Family Medicine Physician
- Fort Payne, AL
- NPI 1225065022
-
- Internal Medicine Physician
- Fort Payne, AL
- NPI 1396764395
-
- Durable Medical Equipment & Medical Supplies
- Fort Payne, AL
- NPI 1326521345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1407363146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2420",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "359862420",
"telephone_number": "256-638-8513",
"fax_number": "256-638-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MCCURDY AVE S STE C",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "359865206",
"telephone_number": "256-638-8513",
"fax_number": "256-638-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINER",
"first_name": "TYSON",
"middle_name": "SCOTT",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-03",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "F01180190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rainsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.