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AMY LEE WAMBOLT M.D.
NPI 1316320054
Student in an Organized Health Care Education/Training Program in Northport, AL

Active since June 30, 2015PECOS Enrolled
1325 MCFARLAND BLVD, SUITE 102, NORTHPORT, AL 35476(205) 348-6700(205) 348-6112 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Amy Lee Wambolt M.d. NPPES

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

AMY LEE WAMBOLT M.D. (NPI 1316320054) is an individual student in an organized health care education/training program in Northport, Alabama and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tuscaloosa.

NPPES Registry Identity

NPI1316320054
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMY LEE WAMBOLTCredential: M.D.
Location Address1325 MCFARLAND BLVD, SUITE 102Northport, AL 35476-3270
Mailing Address850 Peter Bryce BlvdTuscaloosa, AL 35401-7419 · (205) 348-6700 · Fax (205) 348-6112
Phone(205) 348-6700
Fax(205) 348-6112
Sole ProprietorNo
Enumeration DateJune 30, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1316320054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1325 MCFARLAND BLVD, Northport, AL 35476
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Secondary Practice Location 1

Location 1850 Peter Bryce BlvdTuscaloosa, AL 35401-7419 · Phone (205) 348-6700 · Fax (205) 348-6112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Lee Wambolt M.d. 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.

Other Providers at the Same Location NPPES 16

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

NEUROLOGY CLINIC, P.C.
Specialist
1325 MCFARLAND BLVD, SUITE 201
NORTHPORT, AL 35476
Tuscaloosa County (205) 333-2626
SARAH CLOS ATC
Specialist/Technologist (Athletic Trainer)
1325 MCFARLAND BLVD
NORTHPORT, AL 35476
Tuscaloosa County (205) 333-4778
WEST ALABAMA RESEARCH, INC.
Specialist (Research Study)
1325 MCFARLAND BLVD, SUITE 103
NORTHPORT, AL 35476
Tuscaloosa County (205) 333-9048
STEVEN COPPOCK M.D.
Family Medicine
1325 MCFARLAND BLVD, STE 104
NORTHPORT, AL 35476
Tuscaloosa County (205) 348-1770
MRS. KIMBERLY ELLISON WILSON CRNP
Nurse Practitioner (Family)
1325 MCFARLAND BLVD, SUITE 104
NORTHPORT, AL 35476
Tuscaloosa County (205) 330-5266
MRS. LISA BRASHIER NP
Nurse Practitioner (Family)
1325 MCFARLAND BLVD, SUITE 102
NORTHPORT, AL 35476
Tuscaloosa County (205) 348-6700
JOHN OTIS WAITS M.D.
Surgery
1325 MCFARLAND BLVD
NORTHPORT, AL 35476
Tuscaloosa County (205) 926-2992
MR. KYLE DAVID ADAMS ATC
Specialist/Technologist (Athletic Trainer)
1325 MCFARLAND BLVD
NORTHPORT, AL 35476
Tuscaloosa County (205) 333-4766

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 Amy Wambolt's NPI number?

The NPI number for Amy Wambolt is 1316320054. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Amy Wambolt located?

Amy Wambolt practices at 1325 Mcfarland Blvd Suite 102, Northport, AL 35476. The listed phone number is (205) 348-6700.

What is Amy Wambolt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amy Wambolt enrolled in Medicare?

Yes. Amy Wambolt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Wambolt was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.