Amanda McCormick Willis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1094434 Issued in AL

Practice address

180 Medical St
Altoona, AL 35952-6468

Phone

(205) 386-4341

Fax

(205) 623-1105

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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.

• Gana Holdings, LLC

  • Internal Medicine Physician
  • Snead, AL
  • NPI 1396375267

  AL

  Medicare reassignment Care Compare group NPD
• Southern Divine Family Medical Center LLC

  • Internal Medicine Physician
  • Altoona, AL
  • NPI 1104456920

  AL, Family

  Medicare reassignment NPD
• United Doctors Family Medical Center LLC

  • Internal Medicine Physician
  • Boaz, AL
  • NPI 1013313709

  AL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Health Home Health of Birmingham, LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760

  Hospital

  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gana Holdings, LLC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2026.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1508559956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MEDICAL ST",
            "city": "ALTOONA",
            "state": "AL",
            "postal_code": "359526468",
            "telephone_number": "205-386-4341",
            "fax_number": "205-623-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL ST",
            "city": "ALTOONA",
            "state": "AL",
            "postal_code": "359526468",
            "telephone_number": "205-386-4341",
            "fax_number": "205-623-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "AMANDA",
        "middle_name": "MCCORMICK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1094434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery H Mooneyham, CRNP
• Southern Divine Family Medical Center LLC
• Perry L Swann, MD
• Angie Vaughan, RPH
• Kyndal Sanford Washburn
• Kasey Hawkins Wilson, MSN, FNP-C
• Kayla Winfrey, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.