WETUMPKA MEDICAL CENTER
NPI 1073991733
Nurse Practitioner in Wetumpka, AL

Q: What is Wetumpka Medical Center's NPI number?

The NPI number for Wetumpka Medical Center is 1073991733. It was assigned to this organization in the NPPES registry on May 14, 2015.

Q: What is Wetumpka Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 14, 2015CLIA 01D0896577 · Waiver

76297 TALLASSEE HWY, WETUMPKA, AL 36092(334) 478-3276(334) 478-3720 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Wetumpka Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WETUMPKA MEDICAL CENTER (NPI 1073991733) is a healthcare organization registered as a nurse practitioner in Wetumpka, Alabama and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Mark Hayden, Physician, as its authorized official.

NPPES Registry Identity

NPI1073991733

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWETUMPKA MEDICAL CENTER

Location Address76297 TALLASSEE HWYWetumpka, AL 36092-5558

Mailing Address76297 Tallassee HwyWetumpka, AL 36092-5558 · (334) 478-3276 · Fax (334) 478-3720

Phone(334) 478-3276

Fax(334) 478-3720

Organization SubpartNo

Authorized OfficialMark HaydenPhysician · (334) 478-3276

Enumeration DateMay 14, 2015

✔ NPI 1073991733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 13468

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

76297 TALLASSEE HWY, Wetumpka, AL 36092

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Other Identifiers 1

OtherUNSPECIFIEDAL · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0896577

Wetumpka Medical Center · Wetumpka, AL

Active · expires Apr 10, 2027

CLIA Number01D0896577

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2025

Certificate Expiration DateApril 10, 2027

Laboratory DirectorSteven M. Hayden

Laboratory Phone(334) 514-1910

Laboratory LocationWetumpka Medical Center76297 Tallassee Highway, Wetumpka, AL 36092

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN MARK HAYDEN M.D.

Emergency Medicine

76297 TALLASSEE HWY
WETUMPKA, AL 36092

Elmore County (334) 514-1910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wetumpka Medical Center's NPI number?

The NPI number for Wetumpka Medical Center is 1073991733. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is Wetumpka Medical Center located?

Wetumpka Medical Center is located at 76297 Tallassee Hwy, Wetumpka, AL 36092. The listed phone number is (334) 478-3276.

What is Wetumpka Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Wetumpka Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0896577) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wetumpka Medical Center was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.