Africa Olympia Todd, CRNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1-099436 Issued in AL

Practice address

1810 Stadium Dr Ste 210
Phenix City, AL 36867-3179

Phone

(334) 291-5255

Fax

(877) 395-0710

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacksonspointoflifefamilymedicine.kimberlyfunchesjackson@118846.advancedmd-direct.com

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.

• Care 1St Healthcare Staffing, LLC

  • Nursing Care Agency
  • Columbus, GA
  • NPI 1508538265
  NPD Authorized official
• Jacksons Point of Light Family Medicine Inc.

  • Family Medicine Physician
  • Phenix City, AL
  • NPI 1578758553
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1497214134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681045",
            "telephone_number": "334-291-5255",
            "fax_number": "877-395-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR STE 210",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673179",
            "telephone_number": "334-291-5255",
            "fax_number": "877-395-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "AFRICA",
        "middle_name": "OLYMPIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-099436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JacksonsPointofLifeFamilyMedicine.KimberlyFunchesJackson@118846.Advancedmd-Direct.com",
            "affiliation": "N",
            "endpointDescription": "Central Information Exchange module",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1810 Stadium Dr Ste 210",
            "city": "Phenix City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368673179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Thomas, D.O.
• Arlesha Thurman, PHLEBOTOMIST
• Lalomie Tibbs, NURSE PRACTITIONER
• Steven Michael Tillery
• Aaron Paul Tillman
• Deborah A Toney
• Benita Tonti, ALC
• Transformed to Inspire LLC
• Trinity Healthcare Services, Inc
• Tiffany Twitty, LMT, RRT

• General Practice Registered Nurse in Phenix City, AL
• Providers in Phenix City, AL by specialty
• General Practice Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.