SLOCOMB FAMILY HEALTH CENTER
NPI 1023290608
Clinic/Center - Federally Qualified Health Center (FQHC) in Slocomb, AL

Active since December 05, 2007CLIA 01D1077388 · Waiver
162 S DALTON ST, SLOCOMB, AL 36375(334) 886-3023(334) 886-3028 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Slocomb Family Health Center NPPES

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

SLOCOMB FAMILY HEALTH CENTER (NPI 1023290608) is a healthcare organization registered as a federally qualified health center (fqhc) in Slocomb, Alabama and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Pamylon Bowers, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023290608
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Location Address162 S DALTON STSlocomb, AL 36375-5669
Mailing Address1414 Elba HwyTroy, AL 36079-6020 · (334) 670-6726 · Fax (334) 670-6731
Fax(334) 886-3028
Organization SubpartNo
Authorized OfficialPamylon BowersChief Executive Officer · (334) 670-6726
Enumeration DateDecember 5, 2007
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1023290608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
162 S DALTON ST, Slocomb, AL 36375

Other Names 1

Doing Business AsSlocomb Family Health Center

Other Identifiers 1

Medicaid630007018AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Slocomb Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Slocomb Family Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner16
Family Practice12
Internal Medicine2
Emergency Medicine1

Nearest to this location (20)

See all 31
Nurse Practitioner
NPI 1619452760
4300 W MAIN ST STE 300
Dothan, AL 36305
(334) 446-0076
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1003552555
4300 W MAIN ST STE 300
Dothan, AL 36305
(334) 446-0076
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1528609146
4300 W MAIN ST STE 300
Dothan, AL 36305
(334) 446-0076
✔ PECOS✔ Accepts Medicare12 mi
Emergency Medicine
NPI 1568430056
4300 W MAIN ST STE 300
Dothan, AL 36305
(334) 446-0076
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1689257602
193 OATES DR
Newton, AL 36352
(334) 299-3592
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1295278653
193 OATES DR
Newton, AL 36352
(334) 299-3592
✔ PECOS16 mi
Family Practice
NPI 1740926203
100 W LAKE PROFESSIONAL PARK STE 3
Geneva, AL 36340
(334) 684-8905
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1184110850
100 W LAKE PROFESSIONAL PARK STE 3
Geneva, AL 36340
(334) 684-8905
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1891794822
100 W LAKE PROFESSIONAL PARK STE 3
Geneva, AL 36340
(334) 684-2281
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1063956233
105 E WATTS ST
Enterprise, AL 36330
(334) 393-5437
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1063925626
105 E WATTS ST
Enterprise, AL 36330
(334) 393-5437
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1710118898
105 E WATTS ST
Enterprise, AL 36330
(334) 393-5437
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1558321786
615 OZARK RD
Abbeville, AL 36310
(334) 585-1171
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1477281319
615 OZARK RD
Abbeville, AL 36310
(334) 585-1171
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1619391265
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1508531757
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1639793334
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1770326977
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
Family Practice
NPI 1164432308
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
Family Practice
NPI 1639117534
1412 ELBA HWY
Troy, AL 36079
(334) 566-8822
✔ PECOS✔ Accepts Medicare50 mi
See all 31 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

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 01D1077388

Slocomb Family Health Center · Slocomb, AL
Active · expires Jun 21, 2028
CLIA Number01D1077388
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorDr. Nasser Samuy
Laboratory Phone(334) 886-3023
Laboratory LocationSlocomb Family Health Center162 South Dalton Street, Slocomb, AL 36375
CLIA data matches this NPI record on: Address 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 Southeast Alabama Rural Health Associates's NPI number?

The NPI number for Southeast Alabama Rural Health Associates is 1023290608. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Slocomb Family Health Center.

Where is Southeast Alabama Rural Health Associates located?

Southeast Alabama Rural Health Associates is located at 162 S Dalton St, Slocomb, AL 36375. The listed phone number is (334) 886-3023.

What is Southeast Alabama Rural Health Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southeast Alabama Rural Health Associates enrolled in Medicare?

Yes. Southeast Alabama Rural Health Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Alabama Rural Health Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 4 Medicare specialties reassign their Medicare billing to Southeast Alabama Rural Health Associates. 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 Nurse Practitioner (16), Family Practice (12) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeast Alabama Rural Health Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1077388) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Alabama Rural Health Associates was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.