Jaime Hamilton Willey, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-104626 Issued in AL

Practice address

26889 Main St
Ardmore, TN 38449-3151

Phone

(256) 665-5696

Fax

(256) 484-4389

NPI assigned

Jan 9, 2023

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MCMD LLC

  • Primary Care Clinic/Center
  • Athens, AL
  • NPI 1477068468
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1710691209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26889 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493151",
            "telephone_number": "256-742-2555",
            "fax_number": "256-484-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26889 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493151",
            "telephone_number": "256-665-5696",
            "fax_number": "256-484-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "JAIME",
        "middle_name": "HAMILTON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughan Family Dentistry, PC
• Matthew Robert Vaughan, DMD
• Deborah Ruth Verbeek, CFNP, MSN
• Wenric, Inc
• Dalton Emerson West, PT
• Marlee Wright, PA

• Family Nurse Practitioner in Ardmore, TN
• Providers in Ardmore, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.