Individual provider Active NPI

William Douglas Mullins

  • Acute Care Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1932607421
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-127033 Issued in AL
Practice address
1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194
Phone
(256) 485-0899
Fax
(866) 265-9563
NPI assigned
Jan 30, 2018
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-127033 AL Primary

Addresses

Primary practice location

1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194

Mailing address

1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194
Phone (256) 485-0899

Other practice location 1

2055 E South Blvd Ste 708
Montgomery, AL 36116-2014
Phone (334) 457-7212

Other practice location 2

1900 Leighton Ave Ste 205
Anniston, AL 36207-3205
Phone (256) 235-0294

Other practice location 3

70 Plaza Dr
Pell City, AL 35125-9314
Phone (256) 485-0899

Other practice location 4

2525 US Highway 431 Ste 270
Boaz, AL 35957-5934
Phone (256) 485-0899

Other practice location 5

7938 Al Highway 69 Ste 360
Guntersville, AL 35976-7177
Phone (256) 485-0899

Other practice location 6

2001 Cades Ave SW
Fort Payne, AL 35968-3554
Phone (256) 485-0899

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
I20180808002892 AL Practitioner - Nurse Practitioner 5193073039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Lifehealth PCGroup PAC ID 7315233954, 17 clinicians

Practice addresses (Care Compare)

1026 Goodyear Ave
Suite 302B
Gadsden, AL 35903-1194
Phone (256) 485-0899

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
78.21
Improvement activities
40
Cost
78.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifehealth, P.C. CurrentSince Apr 1, 2019 Accepting new patients
Monogram Health Professional Services PC CurrentSince Aug 21, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince Aug 21, 2025 Accepting new patients
Regional Hospitalists LLC CurrentSince Jul 14, 2025 Accepting new patients
Regional Health Management Corporation CurrentSince Feb 28, 2018 Accepting new patients
Regional Health Management Corporation CurrentSince Feb 28, 2018 Accepting new patients

Locations

1900 Leighton Ave
Ste 205
Anniston, AL 36207
Phone (256) 235-0294

901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

2525 US Highway 431
Ste 170
Boaz, AL 35957
Phone (256) 593-1611

2525 US Highway 431
Ste 270
Boaz, AL 35957

2001 Cades Ave SW
Fort Payne, AL 35968
Phone (256) 492-7404

301 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0141

1026 Goodyear Ave
Ste 302B
Gadsden, AL 35903
Phone (256) 458-0899

55 Rowe Dr
#C
Guntersville, AL 35976
Phone (256) 571-8810

7938 AL Highway 69
Ste 360
Guntersville, AL 35976
Phone (256) 571-8470

2055 E South Blvd
Ste 708
Montgomery, AL 36116
Phone (334) 288-1033

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGAD
  • Direct secure messaging: william.mullins.1@22854.direct.athenahealth.com

Organizations & group practices 6

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1932607421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd Ste 708",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162014",
            "country_code": "US",
            "telephone_number": "334-457-7212",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Leighton Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362073205",
            "country_code": "US",
            "telephone_number": "256-235-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351259314",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 US Highway 431 Ste 270",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575934",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7938 Al Highway 69 Ste 360",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359767177",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Cades Ave SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683554",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-127033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.