Active NPI
Allison Nicole Maddox, CRNP
- Family Nurse Practitioner
- Northport, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-113898
- Practice address
- 3835 Watermelon Rd Ste D
Northport, AL 35473-5003 - Phone
- (205) 331-4904
- Fax
- (205) 331-4914
- NPI assigned
- Aug 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-113898 | AL | Primary |
Addresses
Primary practice location
3835 Watermelon Rd Ste D
Northport, AL 35473-5003
Mailing address
1174 Taylorwood Cir
Tuscaloosa, AL 35405-5943
Phone (205) 887-3108
Other practice location 1
7700 Highway 69 S Ste C
Tuscaloosa, AL 35405-8784
Phone (205) 349-1041
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Hospital Dr
Northport, AL 35476-2400
Phone (205) 343-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern NP Associates, LLC | Current | Accepting new patients | |
| Williams Medical Services, LLC | Past | Accepting new patients |
Locations
22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712
121 Union St
Moundville, AL 35474
Phone (205) 371-2252
2400 Hospital Dr
Northport, AL 35476
Phone (205) 330-8412
931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301
Organizations & group practices 2
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.
-
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
- NPI 1407257447
-
- Family Medicine Physician
- Northport, AL
- NPI 1780315440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1962759050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 TAYLORWOOD CIR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354055943",
"telephone_number": "205-887-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 WATERMELON RD STE D",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735003",
"telephone_number": "205-331-4904",
"fax_number": "205-331-4914"
}
],
"practiceLocations": [
{
"address_1": "7700 Highway 69 S Ste C",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354058784",
"country_code": "US",
"telephone_number": "205-349-1041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDOX",
"first_name": "ALLISON",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-113898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.