Stanley Farrell Smallwood, CRNP-APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-088147 Issued in AL

Practice address

20104 Swanner Blvd
Suite 4
Tanner, AL 35671

Phone

(256) 686-3334

Fax

(256) 686-3339

NPI assigned

Apr 3, 2008

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Twilight Medical Clinic, LLC

  • Family Nurse Practitioner
  • Athens, AL
  • NPI 1518330414

  AL, Family

  Medicare reassignment NPD Authorized official
• Comprehensive Primary & Urgent Care of Alabama, LLC

  • Primary Care Clinic/Center
  • Athens, AL
  • NPI 1750997706

  AL

  Medicare reassignment NPD
• Express Med of Alabama LLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1215185996
  NPD (past)

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1447423009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20104 SWANNER BLVD",
            "address_2": "SUITE 4",
            "city": "TANNER",
            "state": "AL",
            "postal_code": "356713651",
            "telephone_number": "256-686-3334",
            "fax_number": "256-686-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20104 SWANNER BLVD",
            "address_2": "SUITE 4",
            "city": "TANNER",
            "state": "AL",
            "postal_code": "35671",
            "telephone_number": "256-686-3334",
            "fax_number": "256-686-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "STANLEY",
        "middle_name": "FARRELL",
        "credential": "CRNP-APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-088147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Langford, CRNP
• Traci McLin
• Scott Allen Parvin, D.M.D.
• Tracy L Pool, MD
• Chelsea Poss, CRNP
• Southside Pharmacy Inc
• Tammy V Garrett
• Tanner Community Care
• Tanner Medical Clinic LLC

• All providers in Tanner, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.