Individual provider Active NPI

Lilly Deonna Adkison, FNP

  • Family Nurse Practitioner
  • Irvington, AL
National Provider Identifier
1932837622
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-001003 Issued in AL
Practice address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone
(251) 824-2174
NPI assigned
Aug 10, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 3-001003 AL Primary

Addresses

Primary practice location

12701 Padgett Switch Rd
Irvington, AL 36544-4011

Mailing address

12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone (251) 824-2174

Other identifiers 3

IdentifierTypeStateIssuer
319337MedicaidAL
513-09019OtherALBCBS
3-001003OtherALALABAMA LICENSE

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
I20221115000121 AL Practitioner - Nurse Practitioner 8820466345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou la Batre Area Health Development Board, Inc.Group PAC ID 3577472810, 15 clinicians

Practice addresses (Care Compare)

12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone 25182421745412

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-001003ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Nov 27, 2023 Accepting new patients
University of South Alabama PastSince Aug 1, 2022 Accepting new patients

Locations

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD

Organizations & group practices 3

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1932837622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKISON",
        "first_name": "LILLY",
        "middle_name": "DEONNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319337",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "513-09019",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE",
            "identifier": "3-001003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

Verify at the official NPI Registry.