Doctor profile · Federal record
Dr. Thaila Keodouangdy
Family Nurse Practitioner (CMS: Nurse Practitioner) · Citronelle, AL
- NPI 1104448919
- Accepts Medicare
- 7 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
19250 N Mobile St
Citronelle, AL 365222122
(251) 866-9126 - Additional location
-
251 N Bayou St
Mobile, AL 366035827
(251) 690-8158 - Mailing address
-
Po Box 2867
Mobile, AL 366522867
Credentials & registration
- NPI registered
- May 2020 — 6 yrs on file
- Profile last updated
- November 18, 2021
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Alabama #1-136625
- Medicaid
- AL #261555
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104448919. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $15.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
83
Patients
0
Total drug cost
$1,015
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 21 | 0 | $204 |
| Atorvastatin Calcium | Generic | 19 | 0 | $362 |
| Amlodipine Besylate | Generic | 16 | 0 | $244 |
| Hydrochlorothiazide | Generic | 14 | 0 | $113 |
| Fluconazole | Generic | 13 | 0 | $92 |
Frequently asked questions
What is Dr. Thaila Keodouangdy's medical specialty?
Dr. Thaila Keodouangdy practices Family Nurse Practitioner in Citronelle, AL.
Where does Dr. Thaila Keodouangdy practice?
Dr. Thaila Keodouangdy practices at 19250 N Mobile St, Citronelle, AL 365222122. Office phone: 2518669126.
What is Dr. Thaila Keodouangdy's NPI?
Dr. Thaila Keodouangdy's National Provider Identifier (NPI) is 1104448919, issued by NPPES.
Does Dr. Thaila Keodouangdy accept Medicare assignment?
Yes. Dr. Thaila Keodouangdy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.