Individual provider Active NPI

Teairah Wilder, FNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1689079790
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131546 Issued in AL
Practice address
22335 US Highway 72 Ste C
Athens, AL 35613-2611
Phone
(256) 870-4111
Fax
(256) 870-4112
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-131546 AL
Family Nurse Practitioner 363LF0000X 1-131546 AL Primary

Addresses

Primary practice location

22335 US Highway 72 Ste C
Athens, AL 35613-2611

Mailing address

22335 US Highway 72 Ste C
Athens, AL 35613-2611
Phone (256) 870-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-131546ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC Current Accepting new patients
TLC Pediatrics & Family LLC Family Current Accepting new patients
Quickcare RX LLC Past Accepting new patients

Locations

22335 US Highway 72
Ste C
Athens, AL 35613
Phone (256) 233-5000

Interoperability endpoints

  • Direct secure messaging: teairah.wilder@3554.securemail.prognocis.com

Organizations & group practices 3

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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689079790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-870-4111",
            "fax_number": "256-870-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-870-4111",
            "fax_number": "256-870-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "TEAIRAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-131546",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.