Individual provider Active NPI

Allison Nicole Maddox, CRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1962759050
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-113898 Issued in AL
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

Updated by the provider on Oct 5, 2023

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 1-113898 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000484 AL Practitioner - Nurse Practitioner 2062662315 Reassigns benefits to 1 organization

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
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

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

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince Nov 18, 2024 Accepting new patients
Williams Medical Services, LLC PastSince Oct 8, 2023 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.

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

Verify at the official NPI Registry.