Individual provider Active NPI

Pamela Ann Williams, CRNP

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1407871254
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-041419 Issued in AL
Practice address
5930 US Highway 431 Ste 2
Albertville, AL 35950-2086
Phone
(256) 878-1053
Fax
(256) 878-1742
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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 1-041419 AL Primary

Addresses

Primary practice location

5930 US Highway 431 Ste 2
Albertville, AL 35950-2086

Mailing address

121 Golfview Drive
Arab, AL 35016
Phone (256) 931-3532

Other identifiers 1

IdentifierTypeStateIssuer
541003902MedicaidAL

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
I20040129001140 AL Practitioner - Nurse Practitioner 3870496573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Suite 300
Cullman, AL 35058-0689
Phone (256) 737-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-041419ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC CurrentSince Nov 13, 2017 Accepting new patients
Marshall Family Health Clinic Family Past Accepting new patients
Preferred Family Healthcare, LLC Past Accepting new patients

Locations

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1407871254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GOLFVIEW DRIVE",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "35016",
            "telephone_number": "256-931-3532",
            "fax_number": "256-931-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 US HIGHWAY 431 STE 2",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502086",
            "telephone_number": "256-878-1053",
            "fax_number": "256-878-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-041419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003902",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.