Individual provider Active NPI

Justin Philip Simpson, FNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1730891771
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150203 Issued in AL
Practice address
2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone
(205) 523-5618
NPI assigned
Dec 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 1-150203 AL Primary

Addresses

Primary practice location

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090

Mailing address

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone (205) 523-5618

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
I20230328000648 AL Practitioner - Nurse Practitioner 1052785383 Reassigns benefits to 1 organization

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
Alpha Neuron, LLCGroup PAC ID 8022438266, 6 clinicians

Practice addresses (Care Compare)

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone (205) 523-5618

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
  • Fayette Medical Center Hospital, Fayette, AL, CCN 010045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-150203ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Neuron, LLC CurrentSince Feb 20, 2023 Accepting new patients
Alpha Neuron, LLC Family CurrentSince Feb 20, 2023 Accepting new patients

Locations

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401
Phone (205) 523-5618

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1730891771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 JACK WARNER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011090",
            "telephone_number": "205-523-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JACK WARNER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011090",
            "telephone_number": "205-523-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JUSTIN",
        "middle_name": "PHILIP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.