Individual provider Active NPI

Elizabeth Childress Western, M.D., PH.D.

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1689903833
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30931 Issued in AL
Practice address
2500 Overlook Terrace
Madison, WI 53705-2254
Phone
(608) 280-2143
Fax
(608) 280-7096
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30931 AL Primary

Addresses

Primary practice location

2500 Overlook Terrace
Madison, WI 53705-2254

Mailing address

2500 Overlook Terrace
Madison, WI 53705-2254
Phone (608) 280-2143

Other identifiers 5

IdentifierTypeStateIssuer
102G701388OtherALMEDICARE-GROUP
138652OtherALMEDICAID INDIV.
511-27182OtherALBC/BS OF AL
102I081387OtherALMEDICARE-INDIV.
138413OtherALMEDICAID-GROUP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000574 AL Practitioner - Family Practice 8820262603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DCH Healthcare Authority Current Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Sep 19, 2018 Accepting new patients
American Family Care, LLC CurrentSince Sep 19, 2018 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1820 Rice Mine Rd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 333-4656

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

Organizations & group practices 5

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1689903833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK TERRACE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052254",
            "telephone_number": "608-280-2143",
            "fax_number": "608-280-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK TERRACE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052254",
            "telephone_number": "608-280-2143",
            "fax_number": "608-280-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERN",
        "first_name": "ELIZABETH",
        "middle_name": "CHILDRESS",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-GROUP",
            "identifier": "102G701388",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIV.",
            "identifier": "138652",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL",
            "identifier": "511-27182",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-INDIV.",
            "identifier": "102I081387",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-GROUP",
            "identifier": "138413",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.