Bethany Holden Edgeworth, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-125989 Issued in AL

Practice address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Phone

(205) 343-2225

Fax

(205) 343-7825

NPI assigned

Jul 23, 2016

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Michele Holden Former name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethany.edgeworth.medcentersouth@mcs.direct.systemedx.com
• FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

• Southern Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Anniston, AL
  • NPI 1467909978
  Medicare reassignment Care Compare group NPD
• Alabama Orthopedic Spine & Sports Medicine Associates P C

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1659344984
  Medicare reassignment NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment NPD
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1548456494
  NPD
• Keel and Associates

  • General Practice Physician
  • Oxford, AL
  • NPI 1720136443
  NPD (past)
• Urology Centers of Alabama PC

  dba UCA Specialty Pharmacy

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  NPD (past)

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1962955195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEWORTH",
        "first_name": "BETHANY",
        "middle_name": "HOLDEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "HOLDEN",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.