Active NPI
Shawntavia Powe
- Family Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-143824
- Practice address
- 324 Commons Dr Ste 21
Birmingham, AL 35209-6962 - Phone
- (205) 498-5519
- Fax
- (855) 710-8104
- NPI assigned
- Oct 17, 2018
- Last updated
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-143824 | AL | Primary |
| Family Nurse Practitioner | 363LF0000X | NP500014926 | DC | |
| Family Nurse Practitioner | 363LF0000X | TPAN1615 | FL |
Addresses
Primary practice location
324 Commons Dr Ste 21
Birmingham, AL 35209-6962
Mailing address
120 19TH St N Apt 321
Birmingham, AL 35203-3256
Phone (205) 498-5519
Other names 1
- Shawntavia Latrice Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-143824 | AL | MD | Family Nurse Practitioner |
| NP500014926 | DC | MD | Family Nurse Practitioner |
| TPAN1615 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Ecure, LLC | Current | Accepting new patients | |
| Vincentian Physician Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450
324 Commons Dr
Ste 21
Birmingham, AL 35209
Phone (205) 498-5519
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2217 Decatur Hwy
Ste 101
Gardendale, AL 35071
Phone (205) 418-1200
120 Cahaba Valley Pkwy
Ste 203
Pelham, AL 35124
Phone (205) 235-5800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1861968760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 19TH ST N APT 321",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352033256",
"telephone_number": "205-498-5519",
"fax_number": "855-710-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 COMMONS DR STE 21",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096962",
"telephone_number": "205-498-5519",
"fax_number": "855-710-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWE",
"first_name": "SHAWNTAVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-143824",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP500014926",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN1615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWNTAVIA",
"last_name": "WILLIAMS",
"middle_name": "LATRICE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.