Individual provider Active NPI

Ifeoma Anwah

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1972271070
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1150277 Issued in AL
Practice address
5892 Trussville Crossings Pkwy
Birmingham, AL 35235-8633
Phone
(205) 613-6343
NPI assigned
Sep 2, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 1150277 AL Primary

Addresses

Primary practice location

5892 Trussville Crossings Pkwy
Birmingham, AL 35235-8633

Mailing address

5892 Trussville Crossings Pkwy
Birmingham, AL 35235-8633

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
I20210922000522 AL Practitioner - Nurse Practitioner 6406253244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

5892 Trussville Crsng Pkwy
Birmingham, AL 35235
Phone (205) 655-4002

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1150277ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Sep 27, 2021 Accepting new patients
Southern Immediate Care, LLC CurrentSince Jan 13, 2025 Accepting new patients
American Family Care, LLC CurrentSince Sep 27, 2021 Accepting new patients
Keel and Associates CurrentSince Jan 13, 2025 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

1664 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 409-2794

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1652 Montclair Rd
Irondale, AL 35210
Phone (205) 236-8623

5892 Trussville Crossings Pkwy
Trussville, AL 35235
Phone (205) 228-0080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1972271070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5892 TRUSSVILLE CROSSINGS PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5892 TRUSSVILLE CROSSINGS PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358633",
            "telephone_number": "205-613-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAH",
        "first_name": "IFEOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1150277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.