Justin Wilson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-133787 Issued in AL

Practice address

408 Clark St NE
Cullman, AL 35055-1953

Phone

(256) 734-3202

Fax

(256) 962-5236

NPI assigned

Jan 9, 2019

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Centerwell Home Health Home health agency, Cullman, AL, CCN 017171
• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.wilson.1@15135.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542

  Family

  Medicare reassignment Care Compare group NPD
• CRMC Medical Group LLC

  dba CRMC Medical Group

  • Multi-Specialty Clinic/Center
  • Cullman, AL
  • NPI 1467083675
  Medicare reassignment Care Compare group NPD
• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comfort Care Home Health Services LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1851350334
  Care Compare affiliation
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation
• Eh Health Home Health of Birmingham, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Cullman, AL
  • NPI 1285885285
  Care Compare affiliation

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1417420704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5044",
            "fax_number": "256-801-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551953",
            "telephone_number": "256-734-3202",
            "fax_number": "256-962-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JUSTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige B Williamson
• Sarisa Willoughby, M.A., BCBA, LBA
• Willow Tree Pediatrics PC
• Emily Che Wilson, OD
• Gary A Wilson, BS
• Elizabeth Wimberly, CRNP
• Gregory Scott Windham, M.D.
• Keith J Windham, CRNA
• Marcus Lee Witzel, PMHNP
• Christina Carol Wolfe, LICSW

• Family Nurse Practitioner in Cullman, AL
• Providers in Cullman, 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 Feb 3, 2026; 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.

Verify at the official NPI Registry.