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GERALD ANTHONY SWEENEY M.D.
NPI 1003974551
Family Medicine in Clanton, AL

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
1210 7TH ST S, CLANTON, AL 35045(205) 280-0620 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Anthony Sweeney M.d. NPPES

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

GERALD ANTHONY SWEENEY M.D. (NPI 1003974551) is an individual family medicine provider in Clanton, Alabama, licensed in Alabama (13435) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wetumpka, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1003974551
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERALD ANTHONY SWEENEYCredential: M.D.
Location Address1210 7TH ST SClanton, AL 35045-3724
Mailing Address500 Hospital DrWetumpka, AL 36092-1625 · (334) 567-4311 · Fax (334) 567-4312
Phone(205) 280-0620
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 5, 2006
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1003974551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 13435
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 ListedEmergency MedicineTaxonomy 207P00000X · License 13435 (AL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 13435 (AL)
1210 7TH ST S, Clanton, AL 35045
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Secondary Practice Location 1

Location 1500 Hospital DrWetumpka, AL 36092-1625 · Phone (334) 567-4311 · Fax (334) 567-4312

Other Identifiers 2

Other051097804AL · Bcbs
Medicaid009934870AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerald Anthony Sweeney M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103953096
PECOS Enrollment IDI20100426000085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services40 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH VAUGHN MOON NP
Nurse Practitioner (Primary Care)
1210 7TH ST S
CLANTON, AL 35045
Chilton County (334) 514-3848
CHILTON FAMILY CARE, LLC
Family Medicine
1210 7TH ST S
CLANTON, AL 35045
Chilton County (205) 280-0620
IVY CREEK HEALTHCARE
Clinic/Center (Urgent Care)
1210 7TH ST S
CLANTON, AL 35045
Chilton County (205) 280-0620

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 Gerald Sweeney's NPI number?

The NPI number for Gerald Sweeney is 1003974551. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Gerald Sweeney located?

Gerald Sweeney practices at 1210 7th St S, Clanton, AL 35045. The listed phone number is (205) 280-0620.

What is Gerald Sweeney's specialty?

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

Is Gerald Sweeney enrolled in Medicare?

Yes. Gerald Sweeney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gerald Sweeney accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Gerald Sweeney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerald Sweeney was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.