Active NPI
Ryleigh C Tibbitt, FNP
- Family Nurse Practitioner
- Jacksonville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-176904
- Practice address
- 700 Pelham Rd N
Jacksonville, AL 36265-1602 - Phone
- (256) 782-5781
- NPI assigned
- Jun 9, 2022
- Last updated
- Jun 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-176904 | AK | Primary |
Addresses
Primary practice location
700 Pelham Rd N
Jacksonville, AL 36265-1602
Mailing address
700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone (256) 782-5781
Other practice location 1
2790 Plymouth Rock Trl W
Southside, AL 35907-0978
Phone (256) 770-9048
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13150 Hwy 43
Suite 10
Russellville, AL 35653-4566
Phone (256) 332-5901
309 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 543-9955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-176904 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| First Care Medical Clinic | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| Russellville Hospital Inc | Past | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775
309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955
15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700
837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Gadsden, AL
- NPI 1184688681
-
dba Russellville Hospital Medical Clinic
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1104859123
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1982418141
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
dba Russellville Hospital Family Care First Clinic
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
-
dba Russellville Hospital Medical Clinic
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1033671631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1699404954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PELHAM RD N",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362651602",
"telephone_number": "256-782-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PELHAM RD N",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362651602",
"telephone_number": "256-782-5781"
}
],
"practiceLocations": [
{
"address_1": "2790 Plymouth Rock Trl W",
"address_purpose": "LOCATION",
"city": "Southside",
"state": "AL",
"postal_code": "359070978",
"country_code": "US",
"telephone_number": "256-770-9048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIBBITT",
"first_name": "RYLEIGH",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1-176904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AL
- Terry L Bonds,OD,PC
- The Health Care Authority of the City of Anniston (RMC Jacksonville)
- The Health Care Authority of the City of Anniston (RMC Jacksonville Physicians)
- The Health Care Authority of the City of Anniston (RMC Jacksonville)
- John Threadcraft, LPC
- Timothy B Tabor MD PC
- Jenah Tracy
- Turning Point Christian Counseling, LLC
- William Ernest Tyndall, M.D.
- Salisia Shunta Valentine, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.