Individual provider Active NPI

Alison H Alderin, FNP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1992170476
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN145021 Issued in GA
Practice address
808 Beacon St
Waycross, GA 31501
Phone
(912) 490-4325
Fax
(912) 490-2873
NPI assigned
Dec 9, 2015
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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 RN145021 GA Primary

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 1

  • Alison H Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Integrity Long Term Care LLCGroup PAC ID 0244609071, 3 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Aug 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Integrity Long Term Care LLC CurrentSince Jul 15, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Integrity Health and Wellness, LLC CurrentSince Jul 7, 2018 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCEBD

Organizations & group practices 8

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1992170476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERIN",
        "first_name": "ALISON",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "DAVIS",
            "middle_name": "H",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.