Individual provider Active NPI

Evangeleine Helene Bates, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1508216649
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140136 Issued in AL
Practice address
2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone
(855) 212-2273
Fax
(629) 240-6003
NPI assigned
Jun 20, 2016
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 1-140136 AL Primary
Acute Care Nurse Practitioner 363LA2100X 1-140136 AL

Addresses

Primary practice location

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

111 S Marion St Ste B
Athens, AL 35611-2552
Phone (256) 230-5280

Other practice location 2

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161013001835 AL Practitioner - Nurse Practitioner 4587952130 Reassigns benefits to 2 organizations
I20170103001764 TN Practitioner - Nurse Practitioner 4587952130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aderholt Medical LLCGroup PAC ID 3577972611, 4 clinicians

Practice addresses (Care Compare)

111 S Marion St
Suite B
Athens, AL 35611-2552
Phone (256) 230-5280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 16, 2016 Accepting new patients
Aderholt Medical, LLC CurrentSince Apr 3, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 16, 2016 Accepting new patients
Athens-Limestone ER Physicians CurrentSince Jul 14, 2018 Accepting new patients

Locations

111 S Marion St
Athens, AL 35611
Phone (256) 230-5280

111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280

1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

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 8

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1508216649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "855-212-2273",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Marion St Ste B",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112552",
            "country_code": "US",
            "telephone_number": "256-230-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Market St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112457",
            "country_code": "US",
            "telephone_number": "256-233-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "EVANGELEINE",
        "middle_name": "HELENE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140136",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-140136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.