Individual provider Active NPI

Emma Caitriona Williamson, FNP

  • Family Nurse Practitioner
  • Deatsville, AL
National Provider Identifier
1417615246
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-093348 Issued in AL
Practice address
832 Richfield Rd
Deatsville, AL 36022-2964
Phone
(334) 612-8841
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 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 1-093348 AL Primary

Addresses

Primary practice location

832 Richfield Rd
Deatsville, AL 36022-2964

Mailing address

832 Richfield Rd
Deatsville, AL 36022-2964
Phone (334) 612-8841

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
I20230822004007 AL Practitioner - Nurse Practitioner 6800259920 Reassigns benefits to 3 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
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

1015 Medical Ctr Pkwy
Selma, AL 36701-6748
Phone (334) 418-5999

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 543-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Alabama PLLC CurrentSince Jan 24, 2025 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Nov 10, 2025 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jul 11, 2023 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 4

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.

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1417615246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 RICHFIELD RD",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222964",
            "telephone_number": "334-612-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 RICHFIELD RD",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222964",
            "telephone_number": "334-612-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "EMMA",
        "middle_name": "CAITRIONA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-093348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deatsville, AL

Sources for this page

Verify at the official NPI Registry.