Active NPI
Richard Justin Bates, NP-C
- Family Nurse Practitioner
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-117933
- Practice address
- 2708 Highway 78 E
Jasper, AL 35501-3430 - Phone
- (205) 387-2253
- Fax
- (205) 387-2269
- NPI assigned
- Jan 12, 2015
- Last updated
- Oct 15, 2021
- Sex
- Male
- 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 | 1-117933 | AL | Primary |
Addresses
Primary practice location
2708 Highway 78 E
Jasper, AL 35501-3430
Mailing address
2708 Highway 78 E
Jasper, AL 35501-3430
Phone (205) 387-2253
Other practice location 1
1406 Wall St
Cullman, AL 35055-6011
Phone (256) 736-2856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720477995 | Medicaid | AL |
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, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
122 17TH CT NE
Fayette, AL 35555-1353
Phone (205) 330-1707
2708 Hwy 78 E
Jasper, AL 35501-3430
Phone (205) 387-2253
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.45 of 100
- Quality
- 80.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcenter Demopolis, LLC | Current | Accepting new patients | |
| Medcenter Fayette, LLC | Family | Current | Accepting new patients |
| Urgent Care Northwest PC | Current | Accepting new patients | |
| Tuscaloosa Medcenter North, LLC | Current | Accepting new patients | |
| Urgent Care Northwest PC | Past | Accepting new patients | |
| Tuscaloosa Medcenter South, LLC | Past | Accepting new patients | |
| Urgent Care Northwest PC | Past | Accepting new patients | |
| Medcenter Primary Care, LLC | Family | Past | Accepting new patients |
| Urgent Care Northwest PC | Past | Accepting new patients |
Locations
705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993
122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707
1199 Highway 31 NW
Ste F
Hartselle, AL 35640
Phone (256) 965-3010
14731 Highway 231 431 N
Ste C
Hazel Green, AL 35750
Phone (938) 246-8010
5800 Oakwood Rd NW
Ste A
Huntsville, AL 35806
Phone (938) 259-3010
1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585
2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253
7129 Wall Triana Hwy
Ste C
Madison, AL 35757
Phone (938) 310-5010
3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707
4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654
Interoperability endpoints
- https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
- richard.bates.1@15818.direct.athenahealth.com
- richard.bates.1@31652.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Fayette, AL
- NPI 1235590001
-
- Family Medicine Physician
- Jasper, AL
- NPI 1548456494
-
- Family Medicine Physician
- Demopolis, AL
- NPI 1184913030
-
- Family Medicine Physician
- Northport, AL
- NPI 1972518777
-
dba MedCenter NorthRiver
- Family Medicine Physician
- Northport, AL
- NPI 1922546357
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1689689481
-
- Family Medicine Physician
- Hazel Green, AL
- NPI 1508749342
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1881577625
-
- Family Medicine Physician
- Hartselle, AL
- NPI 1942183785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1720477995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355013430",
"telephone_number": "205-387-2253",
"fax_number": "205-387-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355013430",
"telephone_number": "205-387-2253",
"fax_number": "205-387-2269"
}
],
"practiceLocations": [
{
"address_1": "1406 Wall St",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350556011",
"country_code": "US",
"telephone_number": "256-736-2856",
"fax_number": "256-736-2867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "RICHARD",
"middle_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-117933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720477995",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
- Lauren Caroline Barr
- Brandy L Barrett, ALC
- Amanda K. Barton
- James Robert Barton, MD
- Samuel Jayson Bass, PHARMD
- Anitra D. Batie, M.D.
- Robert Darrell Baughn, P.T.
- BBH WBMC, LLC (Baptist Health Walker Hospital)
- BBH WBMC, LLC (Walker Baptist Medical Center)
- BBH WBMC, LLC (Baptist Health Walker Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.