Shane Clinton Williamon I, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-078396 Issued in AL

Practice address

901 Keith Avenue
Anniston, AL 36202

Phone

(256) 236-8611

Fax

(256) 236-8636

NPI assigned

Oct 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rohit G Patel MDGroup PAC ID 5193989994, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rohit G Patel MD

  • Medical Specialty Clinic/Center
  • Anniston, AL
  • NPI 1801078209
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1881920353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1890",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36203",
            "telephone_number": "256-236-8611",
            "fax_number": "256-236-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KEITH AVENUE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36202",
            "telephone_number": "256-236-8611",
            "fax_number": "256-236-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMON",
        "first_name": "SHANE",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-078396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea H Wiley, DMD
• Wilfredo Grana, M.D.,P.C.
• Wilhoite & Associates, P.C.
• Herbert Wilkerson
• William J. Fergson, Jr., MD PC
• Corinne Elicia Bloom Williams
• Evelyn Williams
• Gregory Lamar Williams, M.S.
• Hannah Elizabeth Williams
• Katherine Williams

• Acute Care Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.

Verify at the official NPI Registry.