Individual provider Active NPI

Richard Justin Bates, NP-C

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1720477995
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117933 Issued in AL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 1-117933 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

IdentifierTypeStateIssuer
1720477995MedicaidAL

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
I20151103003263 AL Practitioner - Nurse Practitioner 5193035129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Medcenter Fayette LLCGroup PAC ID 5193014611, 8 clinicians
Urgent Care Northwest PCGroup PAC ID 2062595598, 37 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Medcenter Demopolis, LLC CurrentSince Jul 1, 2025 Accepting new patients
Medcenter Fayette, LLC Family CurrentSince Oct 16, 2024 Accepting new patients
Urgent Care Northwest PC CurrentSince Sep 1, 2021 Accepting new patients
Tuscaloosa Medcenter North, LLC CurrentSince Mar 17, 2025 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Tuscaloosa Medcenter South, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Medcenter Primary Care, LLC Family Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richard.bates.1@15818.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.