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TAMMY LYNN WILSON AGACNP
NPI 1235703240
Family Medicine - Adult Medicine in Laceys Spring, AL

Active since May 14, 2021PECOS Enrolled
4258 HIGHWAY 231 STE 5, LACEYS SPRING, AL 35754(256) 498-6500(256) 970-2929 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2022, May 14, 2021 (2 updates tracked since 2021).

About Tammy Lynn Wilson Agacnp NPPES

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

TAMMY LYNN WILSON AGACNP (NPI 1235703240) is an individual adult medicine provider in Laceys Spring, Alabama, licensed in Alabama (1-127155) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235703240
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameTAMMY LYNN WILSONCredential: AGACNP
Location Address4258 HIGHWAY 231 STE 5Laceys Spring, AL 35754-6444
Mailing Address4258 Highway 231 Ste 5Laceys Spring, AL 35754-6444 · (256) 498-6500 · Fax (256) 970-2929
Phone(256) 498-6500
Fax(256) 970-2929
Sole ProprietorNo
Enumeration DateMay 14, 2021
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1235703240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AL · 1-127155
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1-127155 (AL), 13227637 (AL)
4258 HIGHWAY 231 STE 5, Laceys Spring, AL 35754
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Lynn Wilson Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

VALLEY SUNRISE LLC
Family Medicine
4258 HIGHWAY 231 STE 5
LACEYS SPRING, AL 35754
Morgan County (256) 498-6500
BREANNA WOOTSON CRNP
Nurse Practitioner (Family)
4258 HIGHWAY 231 STE 5
LACEYS SPRING, AL 35754
Morgan County (256) 498-6500
REBECCA DIANNA WORSHAM CRNP
Nurse Practitioner (Family)
4258 HIGHWAY 231 STE 5
LACEYS SPRING, AL 35754
Morgan County (256) 498-5770

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 Tammy Wilson's NPI number?

The NPI number for Tammy Wilson is 1235703240. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Tammy Wilson located?

Tammy Wilson practices at 4258 Highway 231 Ste 5, Laceys Spring, AL 35754. The listed phone number is (256) 498-6500.

What is Tammy Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Tammy Wilson enrolled in Medicare?

Yes. Tammy Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammy Wilson was last updated on October 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.