Individual provider Active NPI

Maricia Namkung, FNP-C

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1982469599
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1207150 Issued in TX
Practice address
215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone
(757) 968-8644
NPI assigned
Feb 14, 2024
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3-001643 AL
Family Nurse Practitioner 363LF0000X 1207150 TX Primary

Addresses

Primary practice location

215 Perry Hill Rd
Montgomery, AL 36109-3725

Mailing address

4048 Estes CT
Belton, TX 76513-2297
Phone (757) 968-8644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240617001275 AL Practitioner - Nurse Practitioner 2961945175 Reassigns benefits to 1 organization
I20251016000901 TX Practitioner - Nurse Practitioner 2961945175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

101 Paul Stabler Dr
Greenville, AL 36037-3133
Phone (334) 382-0734

113 Slowbes Way
Jarrell, TX 76537-2224
Phone (512) 222-4647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1207150TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group, PLLC CurrentSince Oct 20, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Oct 20, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
American Family Care, LLC CurrentSince May 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

101 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 382-0734

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

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

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

113 Slowbes Way
Jarrell, TX 76537
Phone (512) 222-4647

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 5

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1982469599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 ESTES CT",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132297",
            "telephone_number": "757-968-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PERRY HILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093725",
            "telephone_number": "757-968-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMKUNG",
        "first_name": "MARICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1207150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.