Individual provider Active NPI

Annie Bettis Walker

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1881348084
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119144 Issued in AL
Practice address
6801 Airport Blvd
Mobile, AL 36608-3785
Phone
(904) 372-3943
Fax
(904) 212-1618
NPI assigned
Feb 7, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 1-119144 AL Primary

Addresses

Primary practice location

6801 Airport Blvd
Mobile, AL 36608-3785

Mailing address

122 Jay Cir
Jackson, AL 36545-2450

Other practice location 1

122 Jay Cir
Jackson, AL 36545-2450
Phone (251) 744-2001

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
I20220725000357 AL Practitioner - Nurse Practitioner 5092196972 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

4005 N College Ave
Jackson, AL 36545-2024
Phone (251) 744-6084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Management Partners LLC CurrentSince Aug 8, 2022 Accepting new patients
Diabetes Management Partners LLC CurrentSince Aug 8, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
J. Paul Jones Hospital CurrentSince May 21, 2023 Accepting new patients
J. Paul Jones Hospital CurrentSince May 21, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

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

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

319 McWilliams Ave
Camden, AL 36726
Phone (334) 682-4131

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

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

4005 N College Ave
Jackson, AL 36545
Phone (251) 744-6084

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

7751 Belfort Pkwy
Ste 120
Jacksonville, FL 32256

Organizations & group practices 10

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1881348084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 JAY CIR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083785",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Jay Cir",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "AL",
            "postal_code": "365452450",
            "country_code": "US",
            "telephone_number": "251-744-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIS WALKER",
        "first_name": "ANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.