Individual provider Active NPI

Dena Bivin Yearwood, FNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1619600103
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-083902 Issued in AL
Practice address
500 Towncenter Blvd Ste C
Tuscaloosa, AL 35406-1847
Phone
(205) 266-9011
Fax
(903) 200-1515
NPI assigned
Jul 2, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-083902 AL Primary

Addresses

Primary practice location

500 Towncenter Blvd Ste C
Tuscaloosa, AL 35406-1847

Mailing address

4721 Chace Cir
Hoover, AL 35244-3700
Phone (205) 266-9011

Other practice location 1

4721 Chace Cir
Hoover, AL 35244-3700
Phone (205) 266-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000517 AL Practitioner - Dermatology 3072995232
I20250415000543 AL Practitioner - Nurse Practitioner 3072995232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3473
Phone (205) 900-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-083902ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSD, LLC CurrentSince May 5, 2025 Accepting new patients
Olive Branch Dermatology LLC PastSince Dec 1, 2024 Accepting new patients
ENT Associates of Alabama, P.C. PastSince Feb 17, 2025 Accepting new patients
Alabama Vein Specialists Group LLC PastSince Apr 15, 2023 Accepting new patients

Locations

48 Medical Park Dr E
Ste 153
Birmingham, AL 35235
Phone (205) 402-8133

48 Medical Park Dr E
Ste 458
Birmingham, AL 35235
Phone (205) 838-1811

300 Medical Center Dr
Ste 402
Gadsden, AL 35903
Phone (256) 492-4585

1400 Highway Dr
#C
Oxford, AL 36203
Phone (205) 900-2000

423 23rd St N
Pell City, AL 35125
Phone (205) 212-3636

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.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1619600103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-266-9011",
            "fax_number": "903-200-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TOWNCENTER BLVD STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061847",
            "telephone_number": "205-266-9011",
            "fax_number": "903-200-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 Chace Cir",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443700",
            "country_code": "US",
            "telephone_number": "205-266-9011",
            "fax_number": "903-200-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "DENA",
        "middle_name": "BIVIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-083902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.