Individual provider Active NPI

Jo Anne Davis Miller, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1740514926
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-076604 Issued in AL
Practice address
801 University Blvd E
DCH Cancer Treatment Center
Tuscaloosa, AL 35401-2029
Phone
(205) 759-7803
Fax
(205) 758-3263
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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 1-076604 AL Primary

Addresses

Primary practice location

801 University Blvd E
DCH Cancer Treatment Center
Tuscaloosa, AL 35401-2029

Mailing address

801 University Blvd E
DCH Cancer Treatment Center
Tuscaloosa, AL 35401-2029
Phone (205) 759-7803

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
I20110914000755 AL Practitioner - Nurse Practitioner 0446380745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCH Healthcare AuthorityGroup PAC ID 8123271343, 16 clinicians

Practice addresses (Care Compare)

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7800

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Healthcare Authority CurrentSince Apr 1, 2010 Accepting new patients
DCH Healthcare Authority Family CurrentSince Feb 1, 2013 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
The DCH Health Care Authority CurrentSince Apr 1, 2010 Accepting new patients

Locations

1820 Rice Mine Rd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 333-4656

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

801 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 759-7800

3901 Greensboro Ave
Tuscaloosa, AL 35405

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 4

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 3

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1740514926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD E",
            "address_2": "DCH CANCER TREATMENT CENTER",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7803",
            "fax_number": "205-758-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD E",
            "address_2": "DCH CANCER TREATMENT CENTER",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7803",
            "fax_number": "205-758-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JO ANNE",
        "middle_name": "DAVIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-076604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.