Individual provider Active NPI

Tommishea Gweniqua May, CRNP

  • Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1669747622
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-114876 Issued in AL
Practice address
130 Riverchase Pkwy E
Hoover, AL 35244-1811
Phone
(877) 423-1330
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-114876 AL Primary

Addresses

Primary practice location

130 Riverchase Pkwy E
Hoover, AL 35244-1811

Mailing address

8596 Highlands Trce
Trussville, AL 35173-3816
Phone (205) 413-7823

Other practice location 1

417 19th St
Ensley, AL 35218-1601
Phone (205) 547-2344

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
I20120328000927 AL Practitioner - Nurse Practitioner 5597925560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC CurrentSince Jul 24, 2023 Accepting new patients

Locations

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: tommishea.may.1@15135.direct.athenahealth.com

Organizations & group practices 1

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1669747622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8596 HIGHLANDS TRCE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733816",
            "telephone_number": "205-413-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIVERCHASE PKWY E",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441811",
            "telephone_number": "877-423-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 19th St",
            "address_purpose": "LOCATION",
            "city": "Ensley",
            "state": "AL",
            "postal_code": "352181601",
            "country_code": "US",
            "telephone_number": "205-547-2344",
            "fax_number": "205-383-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "TOMMISHEA",
        "middle_name": "GWENIQUA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-114876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.