Active NPI
Teairah Wilder, FNP
- Family Nurse Practitioner
- Athens, AL
National Provider Identifier
1689079790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-131546
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-131546 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Nurse Practitioner
- Athens, AL
- NPI 1811523137
-
- Urgent Care Clinic/Center
- Madison, AL
- NPI 1194274472
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1326460874
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.