Healthcare Provider Details

I. General information

NPI: 1518494020
Provider Name (Legal Business Name): JOHN EDGAR ALAN HAMMONDS CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2868 ACTON RD
VESTAVIA AL
35243-2502
US

IV. Provider business mailing address

2868 ACTON RD
VESTAVIA AL
35243-2502
US

V. Phone/Fax

Practice location:
  • Phone: 205-332-3160
  • Fax: 866-702-0880
Mailing address:
  • Phone: 205-332-3160
  • Fax: 866-702-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP10070
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number3-001878
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: