WILLIAM TEAGUE – Family Nurse Practitioner, NPI 1194539312

WILLIAM TEAGUE is a healthcare provider. based in Southside, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-181840 (AL). The NPI Number for WILLIAM TEAGUE is 1194539312

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
WILLIAM TEAGUE
NPI
1194539312
Phone
(256) 295-8909
Address
2225 MADISON LOOP
Enumeration Date
6 February 2025
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565435200
Graduation Year
2025 (1 year ago)
PAC ID
5991222648
Group Practice PAC ID
4082868641
Professional Enrollment ID
I20250507000661
Address ID
AL359015304GA600XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for WILLIAM TEAGUE

  • 2225 MADISON LOOP

    SOUTHSIDE, AL 359077206

    Phone: (256) 295-8909

    Type: Mailing

  • 400 E 10TH ST

    ANNISTON, AL 362074716

    Phone: (256) 235-5121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250507000661INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082868641View full group profile
NameSpecialtyState
Emergency MedicineFL
Nurse PractitionerAL
Emergency MedicineMI
Nurse PractitionerAL
Family PracticePA
Emergency MedicineGA
Nurse PractitionerAL
Emergency MedicineAR
Nurse PractitionerAL
Emergency Medicine, Internal MedicineAL

Reviews

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Frequently asked questions

How is WILLIAM TEAGUE identified in CMS data?
CMS-hosted NPPES data lists WILLIAM TEAGUE with NPI 1194539312.
Does the file indicate WILLIAM TEAGUE is practicing under active NPI?
Directory data currently reports WILLIAM TEAGUE as active.
What healthcare role does WILLIAM TEAGUE hold?
Scheduling teams often label WILLIAM TEAGUE under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect WILLIAM TEAGUE on a map?
Expect Southside, Alabama as a primary anchor for WILLIAM TEAGUE unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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