| Amanda Mccormick Willis, CRNP | |
|
180 Medical St, Altoona, AL 35952-6468 | |
| (205) 386-4341 | |
| (205) 623-1105 |
| Full Name | Amanda Mccormick Willis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 180 Medical St, Altoona, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508559956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1094434 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Medical Centers | Boaz, AL | Hospital |
| St Vincents Blount | Oneonta, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gana Holdings, Llc | 3476978412 | 4 |
| Entity Name | United Doctors Family Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313709 PECOS PAC ID: 0648597567 Enrollment ID: O20150402000069 |
| Entity Name | Southern Divine Family Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104456920 PECOS PAC ID: 0648692582 Enrollment ID: O20200622002415 |
| Entity Name | Gana Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396375267 PECOS PAC ID: 3476978412 Enrollment ID: O20200807000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mccormick Willis, CRNP 180 Medical St, Altoona, AL 35952-6468 Ph: (205) 386-4341 | Amanda Mccormick Willis, CRNP 180 Medical St, Altoona, AL 35952-6468 Ph: (205) 386-4341 |
Jeffery H Mooneyham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 Cleveland Ave, Altoona, AL 35952 Phone: 205-589-6361 | |
Mrs. Kayla Winfrey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Medical St, Altoona, AL 35952 Phone: 205-386-4341 Fax: 205-623-1105 | |
Kasey Hawkins Wilson, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42598 State Highway 75, Altoona, AL 35952 Phone: 205-466-9096 Fax: 205-466-9096 | |
Miss Heather Dawn Battles, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9785 Us Highway 278 W, Altoona, AL 35952 Phone: 256-393-9754 |