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SOUTH UNION FAMILY MEDICINE
NPI 1003264136
Family Medicine in Ozark, AL

Active since May 31, 2016CLIA Certified · 2 labs
633 SOUTH UNION AVE, OZARK, AL 36360(334) 774-7572(334) 774-6237 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Union Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH UNION FAMILY MEDICINE (NPI 1003264136) is a healthcare organization registered as a family medicine in Ozark, Alabama and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Vernon L. Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003264136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDALE MEDICAL CENTER
Location Address633 SOUTH UNION AVEOzark, AL 36360
Mailing AddressPo Box 863Ozark, AL 36361-0863 · (334) 443-1211 · Fax (334) 443-0131
Phone(334) 774-7572
Fax(334) 774-6237
Organization SubpartYes
Authorized OfficialVernon L. JohnsonCeo · (334) 774-2601
Enumeration DateMay 31, 2016
Last NPPES UpdateApril 11, 2018
✔ NPI 1003264136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
633 SOUTH UNION AVE, Ozark, AL 36360
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Other Names 1

Other NameSouth Union Family Medicine

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Union Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to South Union Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)18
Nurse Practitioner13
Family Practice9
General Surgery3
Internal Medicine2
Cardiovascular Disease (Cardiology)1
Emergency Medicine1

Nearest to this location (20)

See all 47
Robert Kreutzmann, MD
Family Practice
NPI 1174584171
633 S UNION AVE
Ozark, AL 36360
(334) 774-7572
✔ PECOS✔ Accepts MedicareSame address
Leslie Canfield, CRNP
Nurse Practitioner
NPI 1891921250
145 KATHERINE AVE
Ozark, AL 36360
(334) 774-5100
✔ PECOS✔ Accepts Medicare0.3 mi
Connie Chandler, MD
Family Practice
NPI 1215977129
145 KATHERINE AVE
Ozark, AL 36360
(334) 774-5116
✔ PECOS0.3 mi
Ronald Alfano, MD
Cardiovascular Disease (Cardiology)
NPI 1912984279
179 KATHERINE AVE
Ozark, AL 36360
(334) 671-1696
✔ PECOS✔ Accepts Medicare0.3 mi
Trey Burg, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902863657
126 HOSPITAL AVE
Ozark, AL 36360
(334) 793-8087
✔ Accepts Medicare0.5 mi
Richard Lucky, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952573545
126 HOSPITAL AVE
Ozark, AL 36360
(334) 793-8087
✔ Accepts Medicare0.5 mi
Emily Bell
Nurse Practitioner
NPI 1326910761
218 HOSPITAL AVE
Ozark, AL 36360
(334) 774-1982
✔ PECOS✔ Accepts Medicare0.5 mi
Oliver Crawford, MD
Internal Medicine
NPI 1629055330
218 HOSPITAL AVE SUITE B
Ozark, AL 36360
(334) 774-5864
✔ PECOS✔ Accepts Medicare0.5 mi
Morgan Hammock, CRNP
Nurse Practitioner
NPI 1902104870
218 HOSPITAL AVE STE A
Ozark, AL 36360
(334) 774-1982
✔ PECOS✔ Accepts Medicare0.5 mi
Richard Hammock, MD
Family Practice
NPI 1497920276
218 HOSPITAL AVE SUITE A
Ozark, AL 36360
(334) 774-1982
✔ PECOS✔ Accepts Medicare0.5 mi
Kayla Russell, FNP-C
Nurse Practitioner
NPI 1437989811
218 HOSPITAL AVE STE A
Ozark, AL 36360
(334) 774-1982
✔ PECOS✔ Accepts Medicare0.5 mi
Zara Benefield
Nurse Practitioner
NPI 1598522591
633 S UNION AVE
Ozark, AL 36360
(334) 774-7572
✔ PECOS✔ Accepts Medicare0.9 mi
Jeffrey Dixon, CRNP
Nurse Practitioner
NPI 1942751177
633 S UNION AVE
Ozark, AL 36360
(334) 774-7572
✔ PECOS✔ Accepts Medicare0.9 mi
Margaret Hughes, CRNP
Nurse Practitioner
NPI 1740210343
1519 ANDREWS AVE
Ozark, AL 36360
(334) 774-7610
✔ PECOS✔ Accepts Medicare1.3 mi
Shawn Watts, MD
General Surgery
NPI 1639358864
2126 W ROY PARKER RD # 207
Ozark, AL 36360
(334) 443-0160
✔ PECOS✔ Accepts Medicare1.5 mi
Vinson Johnson, CRNP
Nurse Practitioner
NPI 1093513715
1519 ANDREWS AVE
Ozark, AL 36360
(334) 774-7610
✔ PECOS✔ Accepts Medicare1.7 mi
Rifat Parwaiz, M.D.
Family Practice
NPI 1679523898
1519 ANDREWS AVE
Ozark, AL 36360
(334) 774-7610
✔ PECOS✔ Accepts Medicare2.1 mi
Radu Constantine, M.D.
General Surgery
NPI 1154368405
2126 W ROY PARKER RD STE 203
Ozark, AL 36360
(845) 481-8258
✔ PECOS✔ Accepts Medicare2.6 mi
Mark Ellis, D.O.
Family Practice
NPI 1083632244
1018 RUCKER BLVD STE A
Enterprise, AL 36330
(334) 347-4343
✔ PECOS✔ Accepts Medicare14 mi
Andrew Duerr, M.D.
Emergency Medicine
NPI 1205921509
1008 BOLL WEEVIL CIR SUITE D
Enterprise, AL 36330
(334) 347-0639
✔ PECOS15 mi
See all 47 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0953785

South Union Family Medicine · Ozark, AL
Active · expires Nov 9, 2026
CLIA Number01D0953785
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorRobert J. Kreutzmann MD
Laboratory Phone(334) 774-2601
Laboratory LocationSouth Union Family Medicine633 S Union Ave, Ozark, AL 36360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2056760

Dale Medical Center Ambulatory Surgery Center · Ozark, AL
Active · expires Apr 2, 2027
CLIA Number01D2056760
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDr. Merle Madigan Do
Laboratory Phone(334) 774-2601
Laboratory LocationDale Medical Center Ambulatory Surgery Center2126 West Ray Parker Road, Ozark, AL 36360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Medical Center's NPI number?

The NPI number for Dale Medical Center is 1003264136. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is also known as South Union Family Medicine.

Where is Dale Medical Center located?

Dale Medical Center is located at 633 South Union Ave, Ozark, AL 36360. The listed phone number is (334) 774-7572.

What is Dale Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dale Medical Center enrolled in Medicare?

Yes. Dale Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dale Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 7 Medicare specialties reassign their Medicare billing to Dale Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (18), Nurse Practitioner (13) and Family Practice (9). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dale Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dale Medical Center was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.