GERALD ANTHONY SWEENEY M.D.
NPI 1003974551
Family Medicine in Clanton, AL
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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Gerald Sweeney reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clanton, AL 35045
- Reassigned Medicare billing, Alabama enrollment
- 160 clinicians in this Medicare group
Deatsville, AL 36022
- Reassigned Medicare billing, Alabama enrollment
- 182 clinicians in this Medicare group
Millbrook, AL 36054
- Reassigned Medicare billing, Alabama enrollment
- 126 clinicians in this Medicare group
Wetumpka, AL 36092
- Reassigned Medicare billing, Alabama enrollment
- 24 clinicians in this Medicare group
Wetumpka, AL 36093
- Reassigned Medicare billing, Alabama enrollment
- 158 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 149 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Alabama enrollment
- 152 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Gerald Sweeney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Sweeney reassigns Medicare benefits to 8 organizations: Chilton Family Care, LLC (Clanton, AL), Ivy Creek Of Elmore, LLC (Deatsville, AL), Physical Express (Millbrook, AL), Ivy Creek Specialty Care (Wetumpka, AL), Wetumpka Urgent Care LLC (Wetumpka, AL) and 3 more organizations, listed in the Medicare section above. Each 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 Gerald Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald Sweeney accept?
Health plans from Ambetter 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 8 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.
# Gerald Anthony Sweeney, M.D. · NPI 1003974551
Family Medicine physician in Clanton, Alabama. Individual provider, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1003974551 (Entity type: Individual)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13435 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1210 7TH ST S, Clanton, AL 35045-3724
- **Phone:** (205) 280-0620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Chilton Family Care, LLC (NPI 1366857674, Clanton, AL); Ivy Creek Of Elmore, LLC (NPI 1578060349, Deatsville, AL); Physical Express (NPI 1043362734, Millbrook, AL); Ivy Creek Specialty Care (NPI 1396342184, Wetumpka, AL); Wetumpka Urgent Care LLC (NPI 1194057554, Wetumpka, AL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** February 17, 2026
- **Other identifiers:** Other 051097804 (AL); Medicaid 009934870 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1003974551) · Data from the CMS NPPES public registry.