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CLINICAL UROLOGY ASSOCIATES, P.C.
NPI 1053025593
Urology in Albertville, AL

Active since January 10, 2023CLIA Certified · 3 labs
9524 US HWY 431, ALBERTVILLE, AL 35950(256) 492-4040(256) 492-4017 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Clinical Urology Associates, P.c. NPPES

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

CLINICAL UROLOGY ASSOCIATES, P.C. (NPI 1053025593) is a healthcare organization registered as an urology in Albertville, Alabama and active in the NPI registry since January 2023. The organization holds 3 active CLIA laboratory certificates and lists Kourtney Mayo, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1053025593
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCLINICAL UROLOGY ASSOCIATES, P.C.
Location Address9524 US HWY 431Albertville, AL 35950-3595
Mailing Address713 Goodyear AveGadsden, AL 35903-1156 · (256) 492-4040 · Fax (256) 492-4017
Phone(256) 492-4040
Fax(256) 492-4017
Organization SubpartYes
Authorized OfficialKourtney MayoCredentialing · (256) 613-0322
Enumeration DateJanuary 10, 2023
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1053025593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9524 US HWY 431, Albertville, AL 35950
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Group Practice 1

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)

Clinical Urology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Clinical Urology Associates, P.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Urology8
Diagnostic Radiology4
Nurse Practitioner4

Clinicians, nearest first (16)

Bethany Nailor
Nurse Practitioner
NPI 1013678713
8914 US HIGHWAY 431
Albertville, AL 35950
(256) 279-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Tamala Sparks, CRNP
Nurse Practitioner
NPI 1265626691
1020 TUSCALOOSA AVE
Gadsden, AL 35901
(256) 546-4606
✔ PECOS✔ Accepts Medicare22 mi
Callie Clement, NP
Nurse Practitioner
NPI 1790486512
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Dylan Dangerfield, M.D.
Urology
NPI 1245791128
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Marilyn Kelleher, M.D.
Urology
NPI 1932515582
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
John Pirani, MD
Urology
NPI 1942267026
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Manish Shah, MD
Urology
NPI 1558328625
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Merle Wade, MD
Urology
NPI 1033167465
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Spencer Wallace, CRNP
Nurse Practitioner
NPI 1831713387
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Zachary Burns
Urology
NPI 1073194478
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Michael Jennings, MD
Urology
NPI 1508271578
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare25 mi
Austin Bourgeois, M.D.
Diagnostic Radiology
NPI 1790002590
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare35 mi
David Kim, M.D.
Diagnostic Radiology
NPI 1154733517
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare35 mi
Ivan Morales, MD
Diagnostic Radiology
NPI 1689167264
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare35 mi
Robert Tomalty, M.D.
Diagnostic Radiology
NPI 1003873951
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare35 mi
Doyle Stephens, D.O.
Urology
NPI 1114147097
3948 TEAYS VALLEY RD UNIT 2101A
Hurricane, WV 25526
(304) 757-0050
✔ PECOS✔ Accepts Medicare373 mi

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 3

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 Compliance 01D1107817

Clinical Urology Associates PC · Gadsden, AL
Active · expires Feb 26, 2028
CLIA Number01D1107817
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorMrs. Elizabeth Rayburn
Laboratory Phone(256) 492-4040
Laboratory LocationClinical Urology Associates PC713 Goodyear Ave, Gadsden, AL 35903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 01D2277570

Clinical Urology Associates PC · Albertville, AL
Active · expires Mar 25, 2028
CLIA Number01D2277570
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDr. Manish Shah
Laboratory Phone(256) 543-0976
Laboratory LocationClinical Urology Associates PC9524 Us Hwy 431, Albertville, AL 35950
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 01D2306947

Clinical Urology Associates PC · Jacksonville, AL
Active · expires Mar 24, 2027
CLIA Number01D2306947
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Manish Shah
Laboratory Phone(256) 492-4040
Laboratory LocationClinical Urology Associates PC1475 1st Ave SW, Jacksonville, AL 36265
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Clinical Urology Associates, P.C.'s NPI number?

The NPI number for Clinical Urology Associates, P.C. is 1053025593. It was assigned to this organization in the NPPES registry on January 10, 2023.

Where is Clinical Urology Associates, P.C. located?

Clinical Urology Associates, P.C. is located at 9524 Us Hwy 431, Albertville, AL 35950. The listed phone number is (256) 492-4040.

What is Clinical Urology Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Clinical Urology Associates, P.C. enrolled in Medicare?

Yes. Clinical Urology Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Urology Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Clinical Urology Associates, P.C.. 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 Urology (8), Diagnostic Radiology (4) and Nurse Practitioner (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinical Urology Associates, P.C. hold CLIA laboratory certificates?

Yes. 3 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 Clinical Urology Associates, P.C. was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.