Individual provider Active NPI

Raymond Douglas Wheat III, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1992438071
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150680 Issued in AL
Practice address
1758 Park PL Ste 406
Montgomery, AL 36106-1135
Phone
(334) 240-2348
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 1-150680 AL Primary

Addresses

Primary practice location

1758 Park PL Ste 406
Montgomery, AL 36106-1135

Mailing address

1758 Park PL Ste 406
Montgomery, AL 36106-1135
Phone (334) 240-2348

Other practice location 1

115 Herren Hill Rd
Tallassee, AL 36078-1276
Phone (334) 283-3477

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
I20220725001384 AL Practitioner - Nurse Practitioner 9537540331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8123

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as individual
Quality
56.34
Promoting interoperability
100
Improvement activities
40
Cost
75.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic Inc. CurrentSince Jul 1, 2022 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1758 Park Pl
Ste 406
Montgomery, AL 36106
Phone (334) 240-2348

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

115 Herren Hill Rd
Tallassee, AL 36078
Phone (334) 246-4774

115 Herren Hill Rd
Ste C
Tallassee, AL 36078
Phone (334) 283-3477

Interoperability endpoints

  • Direct secure messaging: raymond.wheat.1@9186.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1992438071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 406",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061135",
            "telephone_number": "334-240-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 406",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061135",
            "telephone_number": "334-240-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Herren Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Tallassee",
            "state": "AL",
            "postal_code": "360781276",
            "country_code": "US",
            "telephone_number": "334-283-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "RAYMOND",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.