Macy Williamson, CRNP
Individual provider Active NPI Family Medicine Physician · Luverne, AL
NPI 1740848639 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1740848639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1-145338 (AL)
- Practice address
- 1704 S Forest Ave
Luverne, AL 36049-7306 - Phone
- (334) 335-3383
- Fax
- (334) 335-3078
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Troy Regional Physicians Inc
Family Practice Associates LLC
4 Points Primary Care LLC
4 Points Medical Group
Practice addresses (Care Compare)
1340 Hwy 231 S
Suite 5And6
Troy, AL 36081-3011
Phone (334) 670-5000
1704 S Forest Ave
Luverne, AL 36049-7306
Phone (334) 335-3383
207 Dunson St
Andalusia, AL 36420-3705
Phone (334) 208-6002
Hospital & facility affiliations
- Troy Regional Medical Center
- Andalusia Health
- Crenshaw Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200108001809 | AL | Practitioner - Nurse Practitioner | 7012342637 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-145338 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Points Medical Group | Current |
Accepting new patients | |
| Troy Hospital Health Care Authority | Family Medicine | Current |
Accepting new patients |
| 4 Points Primary Care LLC | Current |
Accepting new patients | |
| Troy Regional Physicians Inc | Current |
Accepting new patients | |
| Family Practice Associates LLC | Family Medicine | Current |
Accepting new patients |
| Troy Regional Physicians Inc | Current |
Accepting new patients |
Locations
207 Dunson St
Andalusia, AL 36420
Phone (334) 343-4242
9373 N Main St
Brantley, AL 36009
Phone (334) 527-0101
1704 S Forest Ave
Luverne, AL 36049
Phone (334) 335-3383
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
1340 Highway 231 S
Ste 5
Troy, AL 36081
Phone (205) 566-4895
Interoperability endpoints
- macy.williamson.1@3503.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1-145338 | AL | Yes |
Addresses
Primary practice location
1704 S Forest Ave
Luverne, AL 36049-7306
Mailing address
1704 S Forest Ave
Luverne, AL 36049-7306
Phone (334) 335-3383
Other practice location 1
9373 N Main St
Brantley, AL 36009-2437
Phone (334) 527-0101
Other names
- Macy Owens
Other providers in Luverne, AL
All providers in Luverne, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.