PHYSICAL EXPRESS
NPI 1043362734
Family Medicine in Millbrook, AL
About Physical Express NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICAL EXPRESS (NPI 1043362734) is a healthcare organization registered as a family medicine in Millbrook, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Jade Lane, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physical Express is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
125Medicare enrollment records show 125 clinicians reassign Medicare billing to Physical Express, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 125Source: 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 01D1034919
Physical Express - Millbrook · Millbrook, ALFrequently 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 Physical Express's NPI number?
The NPI number for Physical Express is 1043362734. It was assigned to this organization in the NPPES registry on January 16, 2007.
Where is Physical Express located?
Physical Express is located at 4081 Alabama Hwy 14, Millbrook, AL 36054. The listed phone number is (334) 285-3222.
What is Physical Express's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Physical Express enrolled in Medicare?
Yes. Physical Express is registered in the Medicare PECOS enrollment system.
When is Physical Express's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Physical Express?
According to the CMS Revalidation Reassignment List (October 2026 release), 125 clinicians in 6 Medicare specialties reassign their Medicare billing to Physical Express. 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 Diagnostic Radiology (106), Family Practice (6) and Nurse Practitioner (6). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Physical Express hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D1034919) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Physical Express accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Physical Express 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 Physical Express was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Physical Express · NPI 1043362734
Family Medicine organization in Millbrook, Alabama. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1043362734 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jade Lane, CREDENTIALING MANAGER
## Practice location
- **Address:** 4081 ALABAMA HWY 14, Millbrook, AL 36054
- **Phone:** (334) 285-3222 · **Fax:** (334) 285-6555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 125 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (106), Family Practice (6), Nurse Practitioner (6); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1043362734/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043362734) · Data from the CMS NPPES public registry.