Alison H Alderin, FNP
Individual provider Active NPI Family Nurse Practitioner · Waycross, GA
NPI 1992170476 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1992170476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN145021 (GA)
- Practice address
- 808 Beacon St
Waycross, GA 31501 - Phone
- (912) 490-4325
- Fax
- (912) 490-2873
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calcasieu Urgent Care LLC
Integrity Long Term Care LLC
Practice addresses (Care Compare)
103 W University Pkwy
Leesville, LA 71446-4734
Phone (337) 239-2600
808 Beacon St
Waycross, GA 31501-7104
Phone (912) 490-4325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, LA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915003050 | GA | Practitioner - Nurse Practitioner | 0749586170 | Reassigns benefits to 3 organizations |
| I20250801001982 | LA | Practitioner - Nurse Practitioner | 0749586170 | Reassigns benefits to 3 organizations |
| I20260316003837 | TX | Practitioner - Nurse Practitioner | 0749586170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Integrity Health and Wellness, LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Integrity Long Term Care LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients |
Locations
808 Beacon St
Waycross, GA 31501
Phone (912) 490-0722
9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
103 W University Pkwy
Leesville, LA 71446
Phone (337) 239-2600
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDCEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN145021 | GA | Yes |
Addresses
Primary practice location
808 Beacon St
Waycross, GA 31501
Mailing address
808 Beacon St
Waycross, GA 31501-7104
Phone (912) 490-4325
Other names
- Alison H Davis
Other providers in Waycross, GA
- Stanley A Agbulos
- Air Evac EMS, Inc.
- Oladotun Akintomide
- John W Akridge Jr.
- Andrea Janan Albritton
- Blake Darren Aldridge
- Colleen Heather Aldridge
- Kayla Casey Aldridge
- Kelli Alford
- Tayler Hutto Allen
All providers in Waycross, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.