Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Holden Edgeworth, CRNP

Individual provider Family Nurse Practitioner · NPI 1962955195

Bethany Holden Edgeworth, CRNP is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2016, 10 years ago. Practices with Southern Immediate Care, LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2016
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone: (205) 343-2225
Fax: (205) 343-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-125989 (AL)

Record details

NPI number1962955195
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 23, 2016
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern Immediate Care, Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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