Individual provider Active NPI

Bethany H Ransom, NP

  • Nurse Practitioner
  • Centre, AL
National Provider Identifier
1821441957
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-155761 Issued in AL
Practice address
1925 W Main St
Suite 102
Centre, AL 35960-2812
Phone
(256) 677-4552
Fax
(205) 278-8560
NPI assigned
Jul 13, 2016
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 1-155761 AL Primary

Addresses

Primary practice location

1925 W Main St
Suite 102
Centre, AL 35960-2812

Mailing address

286 Mitylene Park Dr Unit 3
Montgomery, AL 36117-3548
Phone (334) 396-1555

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
I20160801002689 AL Practitioner - Nurse Practitioner 4981997756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Alabama, Inc.Group PAC ID 2466866355, 9 clinicians

Practice addresses (Care Compare)

286 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 396-1555

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
87.71
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Alabama, Inc. CurrentSince Aug 9, 2021 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2016 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2016 Accepting new patients
James Stephen Maddox Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1925 W Main St
Ste 102
Centre, AL 35960
Phone (256) 677-4552

286 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 396-1555

286 Mitylene Park Dr
Unit 3
Montgomery, AL 36117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1821441957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MITYLENE PARK DR UNIT 3",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-396-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602812",
            "telephone_number": "256-677-4552",
            "fax_number": "205-278-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "BETHANY",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-155761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.