Individual provider Active NPI

Ramona Leigh Roach-Davis, CRNP

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1689627994
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-096146 Issued in AL
Practice address
774 Shades Mountain PLZ
Hoover, AL 35226-1513
Phone
(205) 979-3381
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 1-096146 AL Primary

Addresses

Primary practice location

774 Shades Mountain PLZ
Hoover, AL 35226-1513

Mailing address

3081 Lorna Rd Ste 101
Hoover, AL 35216-4509
Phone (205) 979-3381

Other practice location 1

3081 Lorna Rd Ste 101
Hoover, AL 35216-4509
Phone (205) 979-3381

Other identifiers 1

IdentifierTypeStateIssuer
891011660MedicaidAL

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
I20080916000462 AL Practitioner - Nurse Practitioner 4385711456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Hoover Medicine, Inc.Group PAC ID 9638244601, 2 clinicians

Practice addresses (Care Compare)

774 Shades Mountain PLZ
Hoover, AL 35226-1513
Phone (205) 979-3381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-096146ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Touch Community Healthcare Current Accepting new patients
Hoover Medicine, Inc. CurrentSince Oct 17, 2009 Accepting new patients
Eon Care Services, LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

774 Shades Mountain Plz
Hoover, AL 35226
Phone (205) 979-3381

3081 Lorna Rd
Ste 101
Hoover, AL 35216
Phone (205) 960-5208

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1689627994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 LORNA RD STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164509",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Lorna Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352164509",
            "country_code": "US",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH-DAVIS",
        "first_name": "RAMONA",
        "middle_name": "LEIGH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-096146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891011660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.