Individual provider Active NPI

Ryleigh C Tibbitt, FNP

  • Family Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1699404954
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-176904 Issued in AK
Practice address
700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone
(256) 782-5781
NPI assigned
Jun 9, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 1-176904 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221015000244 AL Practitioner - Nurse Practitioner 1153797121 Reassigns benefits to 4 organizations

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
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
First Care Medical ClinicGroup PAC ID 8123191715, 3 clinicians

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

LicenseStateTypeSpecialty
1-176904AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Jun 10, 2024 Accepting new patients
First Care Medical Clinic CurrentSince Feb 3, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Aug 13, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 6, 2022 Accepting new patients
Russellville Hospital Inc Current Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 6, 2022 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jun 10, 2024 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.