MR. TAYLOR MAX WADE (FNP-C) – Nurse Practitioner, NPI 1689139040
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MR. TAYLOR MAX WADE (FNP-C)
1505 PELHAM RD S STE 2
JACKSONVILLE, AL 362653707
Phone: (256) 435-7300
Fax: (256) 435-7305
Type: Location
809, Church Avenue Northeast, Jacksonville, Calhoun County, Alabama, 36265, United States
JACKSONVILLE, AL 362651325
Phone: (256) 490-9642
Type: Mailing
1007, Goodyear Ave, Goodyear, Gadsden, Etowah County, Alabama, 35903, United States
GADSDEN, AL 359031195
Phone: (256) 494-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($65).
Total Amount
$121
General + Research + Ownership
Payments
7
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $65 |
| Exact Sciences Corporation | $40 |
| GlaxoSmithKline, LLC. | $16 |
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: 2019-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190329001320 | I | Nurse Practitioner | AL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 585 | 58 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 512 | 111 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 405 | 222 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 327 | 260 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 213 | 175 | $0 |
Insurance plans in this area (ZIP 36265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Internal Medicine, General Practice | AL | |
| Family Practice | AL |
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