Individual provider Active NPI

Gregory Shawn Wheeler, N.P.

  • Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1750529327
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1083210 Issued in AL
Practice address
200 Medical Center Drive
Fort Payne, AL 35968-3458
Phone
(256) 997-2305
Fax
(256) 997-2507
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1083210 AL Primary

Addresses

Primary practice location

200 Medical Center Drive
Fort Payne, AL 35968-3458

Mailing address

1880 County Road 473
Dutton, AL 35744
Phone (256) 657-1249

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
I20090316000634 AL Practitioner - Nurse Practitioner 2961568159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discovery Medical Center, LLCGroup PAC ID 0042581704, 4 clinicians

Practice addresses (Care Compare)

415 E Church St NW
Suite 1And2
Huntsville, AL 35801-5578
Phone (256) 533-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1083210ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Em-I Medical Services PC Nurse Practitioner CurrentSince Feb 2, 2008 Accepting new patients
Alabama Em I Medical Services PC Nurse Practitioner CurrentSince Feb 2, 2008 Accepting new patients
Discovery Medical Center LLC CurrentSince May 13, 2025 Accepting new patients
Discovery Medical Center LLC CurrentSince May 13, 2025 Accepting new patients
Northside Onsite Medical Services, Inc. Past Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

415E Church St NW
Ste 1AND2
Huntsville, AL 35801
Phone (256) 533-2900

1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111

Organizations & group practices 5

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1750529327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 COUNTY ROAD 473",
            "city": "DUTTON",
            "state": "AL",
            "postal_code": "35744",
            "telephone_number": "256-657-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683458",
            "telephone_number": "256-997-2305",
            "fax_number": "256-997-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "GREGORY",
        "middle_name": "SHAWN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1083210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.