Individual provider Active NPI

Mary Ann Raydo

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1487278529
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-166149 Issued in AL
Practice address
7559 Highway 72 W
Madison, AL 35758-8811
Phone
(256) 562-0850
Fax
(256) 562-0853
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-166149 AL Primary
Family Nurse Practitioner 363LF0000X 41272 TN

Addresses

Primary practice location

7559 Highway 72 W
Madison, AL 35758-8811

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 644-8256

Other practice location 1

3715 Hillsboro Pike
Nashville, TN 37215-2117
Phone (615) 385-0622

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
I20200808000134 AL Practitioner - Nurse Practitioner 5395160204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

410 Sutton Rd SE
Owens Cross Roads, AL 35763-5710
Phone (256) 424-4260

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41272TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1-166149ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Dec 10, 2020 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Dec 10, 2020 Accepting new patients

Locations

1420 N Brindlee Mountain Pkwy
Arab, AL 35016
Phone (256) 677-4552

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1841 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 297-2548

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

410 Sutton Rd SE
Owens Cross Roads, AL 35763
Phone (256) 424-4260

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1487278529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-644-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588811",
            "telephone_number": "256-562-0850",
            "fax_number": "256-562-0853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Hillsboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152117",
            "country_code": "US",
            "telephone_number": "615-385-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYDO",
        "first_name": "MARY ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166149",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "41272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.