Individual provider Active NPI

Wilnadia Rawls, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1720527997
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-108782 Issued in AL
Practice address
34 Taylor Rd N
Montgomery, AL 36117-6753
Phone
(334) 323-1510
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1-108782 AL
Family Nurse Practitioner 363LF0000X 1-108782 AL Primary

Addresses

Primary practice location

34 Taylor Rd N
Montgomery, AL 36117-6753

Mailing address

34 Taylor Rd N
Montgomery, AL 36117-6753
Phone (334) 323-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170509002395 AL Practitioner - Nurse Practitioner 7416234034 Reassigns benefits to 1 organization
I20181025002218 GA Practitioner - Nurse Practitioner 7416234034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

34 Taylor Rd N
Montgomery, AL 36117-6753
Phone (334) 323-1510

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-108782ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Clinic/Center CurrentSince Apr 2, 2017 Accepting new patients
Afc Physicians of Georgia Primary Care, PC Clinic/Center Current Accepting new patients
American Family Care, LLC Clinic/Center Current Accepting new patients
Afc Physicians of Georgia Primary Care, PC CurrentSince Jan 13, 2019 Accepting new patients
American Family Care, LLC Clinic/Center CurrentSince Apr 2, 2017 Accepting new patients
Afc Physicians of Georgia Urgent Care, PC Clinic/Center Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

34 Taylor Rd N
Montgomery, AL 36117
Phone (334) 272-7639

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1720527997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TAYLOR RD N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176753",
            "telephone_number": "334-323-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TAYLOR RD N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176753",
            "telephone_number": "334-323-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "WILNADIA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "1-108782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-108782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.