Individual provider Active NPI

Timberly Wilson

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1477131530
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.47963 Issued in AL
Practice address
2419 Gordon Smith Dr
Mobile, AL 36617-2318
Phone
(251) 434-3475
Fax
(251) 434-3837
NPI assigned
Mar 31, 2021
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.47963 AL Primary

Addresses

Primary practice location

2419 Gordon Smith Dr
Mobile, AL 36617-2318

Mailing address

PO Box 35752
Belfast, ME 04915-0635
Phone (251) 434-3475

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115002599 AL Practitioner - Family Practice 6901202274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

2419 Gordon Smith Dr
Mobile, AL 36617-2318
Phone (251) 461-3491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.58 of 100Reported as group
Quality
82.67
Promoting interoperability
98
Improvement activities
40
Cost
77.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Eastern Shore Urgent Care LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Nov 1, 2024 Accepting new patients
Altapointe Health Systems, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
University of South Alabama Past Accepting new patients
Eastern Shore Urgent Care LLC PastSince Oct 1, 2024 Accepting new patients

Locations

29710 Urgent Care Dr
Daphne, AL 36526
Phone (251) 626-3782

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

2419 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 434-3475

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timberly.wilson.1@27270.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1477131530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35752",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150635",
            "telephone_number": "251-434-3475",
            "fax_number": "251-434-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 GORDON SMITH DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172318",
            "telephone_number": "251-434-3475",
            "fax_number": "251-434-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.47963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.