1. Home
  2. Directory
  3. Alabama
  4. Fort Payne
  5. Nurse Practitioner
  6. NPI Profile

PROVISION HEALTH SERVICES, LLC
NPI 1578185393
Nurse Practitioner - Psychiatric/Mental Health in Fort Payne, AL

Active since May 14, 2020
415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968(256) 899-7585 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provision Health Services, Llc NPPES

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

PROVISION HEALTH SERVICES, LLC (NPI 1578185393) is a healthcare organization registered as a psychiatric/mental health in Fort Payne, Alabama and active in the NPI registry since May 2020. The organization lists Michelle Hawthorne, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1578185393
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROVISION HEALTH SERVICES, LLC
Location Address415 MEDICAL CENTER DR SWFort Payne, AL 35968-3421
Mailing Address415 Medical Center Dr SwFort Payne, AL 35968-3421
Phone(256) 899-7585
Organization SubpartNo
Authorized OfficialMichelle HawthorneCredentialing Coordinator · (205) 292-2428
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1578185393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
415 MEDICAL CENTER DR SW, Fort Payne, AL 35968
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 5

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

HH HEALTH SYSTEM - DEKALB RHC, LLC
Clinic/Center
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2820
DR. DANIEL MARTIN MINCE MD
Internal Medicine
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2820
DR. THOMAS DALSGAARD NIELSEN MD
Internal Medicine (Cardiovascular Disease)
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2820
FORT PAYNE RHC CORP
Internal Medicine
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2820
LYZA TENNILLE GAINES CRNP
Nurse Practitioner (Pediatrics)
415 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2820

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 Provision Health Services, LLC's NPI number?

The NPI number for Provision Health Services, LLC is 1578185393. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Provision Health Services, LLC located?

Provision Health Services, LLC is located at 415 Medical Center Dr SW, Fort Payne, AL 35968. The listed phone number is (256) 899-7585.

What is Provision Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Provision Health Services, LLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.