Individual provider Active NPI

Amy Traylor, MD

  • Family Medicine Physician
  • Haleyville, AL
National Provider Identifier
1972000149
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3327 Issued in TX
Practice address
42030 Highway 195 Ste a
Haleyville, AL 35565-7054
Phone
(205) 485-7227
Fax
(205) 485-7229
NPI assigned
Apr 12, 2018
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3327 TX Primary

Addresses

Primary practice location

42030 Highway 195 Ste a
Haleyville, AL 35565-7054

Mailing address

42030 Highway 195 Ste a
Haleyville, AL 35565-7054
Phone (205) 485-7227

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706003625 AL Practitioner - Family Practice 5890050447 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Boyde J Harrison MD PCGroup PAC ID 9638198021, 5 clinicians

Practice addresses (Care Compare)

13150 Hwy 43
Suite 10
Russellville, AL 35653-4566
Phone (256) 332-5901

15225 Hwy 43
Russellville, AL 35653-1969
Phone (256) 331-2700

904 26TH St
Haleyville, AL 35565-1719
Phone (205) 786-5234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10063809TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Medical Center LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Ess of Luverne LLC CurrentSince Jun 15, 2021 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Lakeland Physicians LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Watson Family Clinic CurrentSince Jun 10, 2025 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Nov 1, 2025 Accepting new patients
Boyde J Harrison MD PC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients
NWMC-Winfield Physician Practices, LLC Family Medicine PastSince Feb 1, 2023 Accepting new patients
Russellville Hospital Inc. Past Accepting new patients
Winston Technology Inc Family Medicine Past Accepting new patients
Russellville Hospital Inc Past Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

41896 Highway 195
Haleyville, AL 35565
Phone (205) 486-5234

1728 11th Ave
Haleyville, AL 35565
Phone (205) 485-7822

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

42030 Highway 195
Ste A
Haleyville, AL 35565
Phone (205) 485-7227

904 26th St
Haleyville, AL 35565
Phone (205) 486-5234

42030 Highway 195
Haleyville, AL 35565
Phone (205) 485-7227

206 Bexar Ave E
Hamilton, AL 35570
Phone (205) 921-1550

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

2548 US Highway 43
Winfield, AL 35594
Phone (205) 395-5010

Interoperability endpoints

  • Direct secure messaging: amy.traylor@russ.eclinicaldirectplus.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1972000149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195 STE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7227",
            "fax_number": "205-485-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195 STE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7227",
            "fax_number": "205-485-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-03-29",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

Verify at the official NPI Registry.